St. Croix Counseling | |
3394 Lake Elmo Ave N Lake Elmo MN 55042-4438 | |
(651) 303-5522 | |
Not Available |
Full Name | St. Croix Counseling |
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Speciality | Social Worker - Clinical |
Location | 3394 Lake Elmo Ave N, Lake Elmo, Minnesota |
Authorized Official Name and Position | Susan Whalen (LICSW/OWNER/THERAPIST) |
Authorized Official Contact | 6513035522 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St. Croix Counseling Po Box 144 3394 Lake Elmo Ave. No. Lake Elmo MN 55042-0144 Ph: (651) 303-5522 | St. Croix Counseling 3394 Lake Elmo Ave N Lake Elmo MN 55042-4438 Ph: (651) 303-5522 |
NPI Number | 1568729358 |
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Provider Enumeration Date | 04/18/2012 |
Last Update Date | 04/18/2012 |
Identifier | Type | State | Issuer |
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1568729358 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 20166 (Minnesota) | Primary |
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