| Northstar Wellness Llc | |
|
4758 Park Dr Monticello MN 55362-8577 | |
| (612) 990-2383 | |
| Not Available |
| Full Name | Northstar Wellness Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4758 Park Dr, Monticello, Minnesota |
| Authorized Official Name and Position | Elisabeth Gliddon (OWNER) |
| Authorized Official Contact | 6129902383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northstar Wellness Llc 4758 Park Dr Monticello MN 55362-8577 Ph: (612) 990-2383 | Northstar Wellness Llc 4758 Park Dr Monticello MN 55362-8577 Ph: (612) 990-2383 |
| NPI Number | 1578316162 |
|---|---|
| Provider Enumeration Date | 04/11/2024 |
| Last Update Date | 04/11/2024 |
| Certification Date | 04/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578316162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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