| Gloria Patri Counseling Llc | |
|
325 E 3rd St Duluth MN 55805-1860 | |
| (218) 213-3658 | |
| Not Available |
| Full Name | Gloria Patri Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 325 E 3rd St, Duluth, Minnesota |
| Authorized Official Name and Position | Peter Joseph Kroll (OWNER/ PROVIDER) |
| Authorized Official Contact | 2182133658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gloria Patri Counseling Llc 10 Laitinen Dr Esko MN 55733-9741 Ph: (218) 213-3658 | Gloria Patri Counseling Llc 325 E 3rd St Duluth MN 55805-1860 Ph: (218) 213-3658 |
| NPI Number | 1104671866 |
|---|---|
| Provider Enumeration Date | 04/17/2024 |
| Last Update Date | 04/17/2024 |
| Certification Date | 04/17/2024 |
| Medicare PECOS PAC ID | 5698214146 |
|---|---|
| Medicare Enrollment ID | O20240828001364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104671866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Peter Joseph Kroll |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508238106 PECOS PAC ID: 0749622322 Enrollment ID: I20240528003484 |
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