| Minnesota Renewal Center | |
|
3499 Lexington Ave N Suite 100 St. Paul MN 55126-7058 | |
| (651) 486-4828 | |
| (651) 482-9119 |
| Full Name | Minnesota Renewal Center |
|---|---|
| Speciality | Counselor |
| Location | 3499 Lexington Ave N, St. Paul, Minnesota |
| Authorized Official Name and Position | Amanda Cook (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6514864828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Renewal Center 3499 Lexington Ave. N Suite 100 St. Paul MN 55126-7058 Ph: (651) 486-4828 | Minnesota Renewal Center 3499 Lexington Ave N Suite 100 St. Paul MN 55126-7058 Ph: (651) 486-4828 |
| NPI Number | 1326165630 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 05/03/2024 |
| Certification Date | 05/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326165630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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