| Keystone Counseling And Consulting Services, Llc | |
|
4700 Lexington Ave N Ste B Shoreview MN 55126-5964 | |
| (651) 421-0815 | |
| Not Available |
| Full Name | Keystone Counseling And Consulting Services, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4700 Lexington Ave N Ste B, Shoreview, Minnesota |
| Authorized Official Name and Position | Jennifer L John (OWNER) |
| Authorized Official Contact | 6514210815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Counseling And Consulting Services, Llc 4700 Lexington Ave N Ste B Shoreview MN 55126-5964 Ph: (651) 421-0815 | Keystone Counseling And Consulting Services, Llc 4700 Lexington Ave N Ste B Shoreview MN 55126-5964 Ph: (651) 421-0815 |
| NPI Number | 1114784584 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114784584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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Thomas M Graske, M.a., L.p. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 Tanglewood Dr, Shoreview, MN 55126 Phone: 763-753-1785 Fax: 763-753-1753 | |
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