Midway Counseling Services Llc | |
1410 9th Ave S Apt 306 Saint Cloud MN 56301-5787 | |
(612) 481-9981 | |
(320) 416-3060 |
Full Name | Midway Counseling Services Llc |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 1410 9th Ave S Apt 306, Saint Cloud, Minnesota |
Authorized Official Name and Position | Azad Qorane (PRESIDENT) |
Authorized Official Contact | 6124819981 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Midway Counseling Services Llc 1410 9th Ave S Apt 306 Saint Cloud MN 56301-5787 Ph: (612) 481-9981 | Midway Counseling Services Llc 1410 9th Ave S Apt 306 Saint Cloud MN 56301-5787 Ph: (612) 481-9981 |
NPI Number | 1568079374 |
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Provider Enumeration Date | 09/25/2020 |
Last Update Date | 09/25/2020 |
Certification Date | 09/25/2020 |
Identifier | Type | State | Issuer |
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1568079374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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St. Cloud State University Medical Clinic And Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 First Avenue South, Saint Cloud, MN 56301 Phone: 320-308-3191 Fax: 320-308-3192 | |
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