Norhtwest Counseling | |
2351 Connecticut Ave S Ste 105 Sartell MN 56377-2479 | |
(320) 316-0288 | |
Not Available |
Full Name | Norhtwest Counseling |
---|---|
Speciality | Marriage & Family Therapist |
Location | 2351 Connecticut Ave S Ste 105, Sartell, Minnesota |
Authorized Official Name and Position | Pamela Becker (PROVIDER/THERAPIST) |
Authorized Official Contact | 3202827445 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Norhtwest Counseling 811 1st Ave N Sartell MN 56377-1437 Ph: (320) 282-7445 | Norhtwest Counseling 2351 Connecticut Ave S Ste 105 Sartell MN 56377-2479 Ph: (320) 316-0288 |
NPI Number | 1407360928 |
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Provider Enumeration Date | 11/20/2017 |
Last Update Date | 11/20/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407360928 | NPI | - | NPPES |
1073761631 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 1963 (Minnesota) | Primary |
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