| Whitestone Wellness Llc | |
|
22501 Jason Ave N Forest Lake MN 55025-9160 | |
| (763) 439-1166 | |
| Not Available |
| Full Name | Whitestone Wellness Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 22501 Jason Ave N, Forest Lake, Minnesota |
| Authorized Official Name and Position | Kathryn Hartman Valine (PRESIDENT) |
| Authorized Official Contact | 7634391166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitestone Wellness Llc 22501 Jason Ave N Forest Lake MN 55025-9160 Ph: (763) 439-1166 | Whitestone Wellness Llc 22501 Jason Ave N Forest Lake MN 55025-9160 Ph: (763) 439-1166 |
| NPI Number | 1427815968 |
|---|---|
| Provider Enumeration Date | 03/01/2024 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427815968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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