| Spehar Guiding Llc | |
|
155 Lake St S Ste 102 Forest Lake MN 55025-2604 | |
| (651) 461-1438 | |
| Not Available |
| Full Name | Spehar Guiding Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 155 Lake St S Ste 102, Forest Lake, Minnesota |
| Authorized Official Name and Position | Jacob Spehar (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 6512267906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spehar Guiding Llc 5824 213th St N Forest Lake MN 55025-9745 Ph: (651) 226-7906 | Spehar Guiding Llc 155 Lake St S Ste 102 Forest Lake MN 55025-2604 Ph: (651) 461-1438 |
| NPI Number | 1558139014 |
|---|---|
| Provider Enumeration Date | 12/14/2023 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558139014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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