| Professional Counseling Center | |
|
12450 Wayzata Blvd Ste 202 Minnetonka MN 55305-1927 | |
| (952) 548-9340 | |
| (952) 548-9350 |
| Full Name | Professional Counseling Center |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 12450 Wayzata Blvd Ste 202, Minnetonka, Minnesota |
| Authorized Official Name and Position | Sarah Grill (OFFICE MANAGER) |
| Authorized Official Contact | 9525489340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Counseling Center 12450 Wayzata Blvd Ste 202 Minnetonka MN 55305-1927 Ph: (952) 548-9340 | Professional Counseling Center 12450 Wayzata Blvd Ste 202 Minnetonka MN 55305-1927 Ph: (952) 548-9340 |
| NPI Number | 1477821791 |
|---|---|
| Provider Enumeration Date | 12/01/2011 |
| Last Update Date | 12/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477821791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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