| Mn Couple Therapy Center | |
|
1611 County Road B W Suite 303 Roseville MN 55113-5021 | |
| (651) 340-4597 | |
| (651) 340-4597 |
| Full Name | Mn Couple Therapy Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1611 County Road B W, Roseville, Minnesota |
| Authorized Official Name and Position | Kurt A Wical (DIRECTOR) |
| Authorized Official Contact | 6513404597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mn Couple Therapy Center 1611 County Road B W Suite 303 Roseville MN 55113-5021 Ph: (651) 340-4597 | Mn Couple Therapy Center 1611 County Road B W Suite 303 Roseville MN 55113-5021 Ph: (651) 340-4597 |
| NPI Number | 1770912271 |
|---|---|
| Provider Enumeration Date | 11/05/2013 |
| Last Update Date | 11/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770912271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1357 (Minnesota) | Primary |
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