| Monarch Counseling Collaborative Pa | |
|
21308 John Milless Dr Ste 206 Rogers MN 55374-4870 | |
| (763) 445-9758 | |
| Not Available |
| Full Name | Monarch Counseling Collaborative Pa |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 21308 John Milless Dr Ste 206, Rogers, Minnesota |
| Authorized Official Name and Position | Denae Reanne Kuenzel (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7634459758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monarch Counseling Collaborative Pa 21308 John Milless Dr Ste 206 Rogers MN 55374-4870 Ph: (763) 445-9758 | Monarch Counseling Collaborative Pa 21308 John Milless Dr Ste 206 Rogers MN 55374-4870 Ph: (763) 445-9758 |
| NPI Number | 1801632096 |
|---|---|
| Provider Enumeration Date | 07/08/2024 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801632096 | NPI | - | NPPES |
| 1033446331 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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