| Lifestyle Counseling Of Richfield-bloomington | |
|
9613 Girard Ave S Bloomington MN 55431-2619 | |
| (952) 888-3511 | |
| (952) 888-3511 |
| Full Name | Lifestyle Counseling Of Richfield-bloomington |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 9613 Girard Ave S, Bloomington, Minnesota |
| Authorized Official Name and Position | Susan J Tostevin (OWNER) |
| Authorized Official Contact | 9528883511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestyle Counseling Of Richfield-bloomington Po Box 20667 Bloomington MN 55420-0667 Ph: (952) 888-3511 | Lifestyle Counseling Of Richfield-bloomington 9613 Girard Ave S Bloomington MN 55431-2619 Ph: (952) 888-3511 |
| NPI Number | 1801963830 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801963830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1015735-2-CDT (Minnesota) | Primary |
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