Indigenous Circles Counseling Center | |
12000 Elm Creek Blvd N Ste L70 Maple Grove MN 55369-7167 | |
(612) 910-7194 | |
Not Available |
Full Name | Indigenous Circles Counseling Center |
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Speciality | Clinic/center - Adult Mental Health |
Location | 12000 Elm Creek Blvd N Ste L70, Maple Grove, Minnesota |
Authorized Official Name and Position | Felix Raymond Montez (CEO) |
Authorized Official Contact | 6129107194 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Indigenous Circles Counseling Center Po Box 18655 Minneapolis MN 55418-0655 Ph: (612) 910-7194 | Indigenous Circles Counseling Center 12000 Elm Creek Blvd N Ste L70 Maple Grove MN 55369-7167 Ph: (612) 910-7194 |
NPI Number | 1720580814 |
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Provider Enumeration Date | 03/05/2018 |
Last Update Date | 03/05/2018 |
Identifier | Type | State | Issuer |
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1720580814 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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