Waconia Counseling Services Pllc | |
1992 Starlight Dr Waconia MN 55387-8607 | |
(612) 636-0136 | |
(952) 442-8607 |
Full Name | Waconia Counseling Services Pllc |
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Speciality | Community/behavioral Health |
Location | 1992 Starlight Dr, Waconia, Minnesota |
Authorized Official Name and Position | Patrick Gordon Rodning (OWNER) |
Authorized Official Contact | 6126360136 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Waconia Counseling Services Pllc 1992 Starlight Dr Waconia MN 55387-8607 Ph: (612) 636-0136 | Waconia Counseling Services Pllc 1992 Starlight Dr Waconia MN 55387-8607 Ph: (612) 636-0136 |
NPI Number | 1013282946 |
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Provider Enumeration Date | 03/10/2012 |
Last Update Date | 03/10/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013282946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 00010 (Minnesota) | Primary |
251S00000X | Community/behavioral Health | 5459 (Minnesota) | Secondary |
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