| Isuroon | |
|
1600 East Lake Street Suite 1 Minneapolis Mpls MN 55407 | |
| (612) 886-2731 | |
| Not Available |
| Full Name | Isuroon |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1600 East Lake Street Suite 1, Mpls, Minnesota |
| Authorized Official Name and Position | Robin Lee Wetzel (PROGRAM CONSULTANT) |
| Authorized Official Contact | 6128862731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Isuroon 1600 East Lake Street Suite 1 Minneapolis Mpls MN 55407 Ph: (612) 886-2731 | Isuroon 1600 East Lake Street Suite 1 Minneapolis Mpls MN 55407 Ph: (612) 886-2731 |
| NPI Number | 1053802397 |
|---|---|
| Provider Enumeration Date | 05/22/2018 |
| Last Update Date | 04/30/2021 |
| Certification Date | 04/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053802397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Youth And Family Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4405 E Lake St, Mpls, MN 55406 Phone: 612-722-9612 |