| Telepsychus | |
|
8518 South Maplebrook Circle Brooklyn Park MN 55445 | |
| (612) 462-5121 | |
| Not Available |
| Full Name | Telepsychus |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8518 South Maplebrook Circle, Brooklyn Park, Minnesota |
| Authorized Official Name and Position | Kau Macador Queeglay (OWNER) |
| Authorized Official Contact | 6124625121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Telepsychus 275 4th St E Ste 807 Saint Paul MN 55101-1687 Ph: (612) 462-5121 | Telepsychus 8518 South Maplebrook Circle Brooklyn Park MN 55445 Ph: (612) 462-5121 |
| NPI Number | 1992305973 |
|---|---|
| Provider Enumeration Date | 10/28/2020 |
| Last Update Date | 10/23/2024 |
| Certification Date | 10/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992305973 | NPI | - | NPPES |
| 1417510165 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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