| Summer Counseling | |
|
1687 Woodlane Dr Ste 208 Woodbury MN 55125-3047 | |
| (651) 327-0849 | |
| Not Available |
| Full Name | Summer Counseling |
|---|---|
| Speciality | Counselor |
| Location | 1687 Woodlane Dr Ste 208, Woodbury, Minnesota |
| Authorized Official Name and Position | Jennifer Summer Kokes (PRESIDENT) |
| Authorized Official Contact | 6513270849 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summer Counseling 1687 Woodlane Dr Ste 208 Woodbury MN 55125-3047 Ph: (651) 327-0849 | Summer Counseling 1687 Woodlane Dr Ste 208 Woodbury MN 55125-3047 Ph: (651) 327-0849 |
| NPI Number | 1649815614 |
|---|---|
| Provider Enumeration Date | 11/13/2019 |
| Last Update Date | 04/11/2022 |
| Certification Date | 04/11/2022 |
| Medicare PECOS PAC ID | 6002239589 |
|---|---|
| Medicare Enrollment ID | O20200701001599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649815614 | NPI | - | NPPES |
| Provider Name | Emily A Patrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285293373 PECOS PAC ID: 0749603918 Enrollment ID: I20200707000046 |
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