Anoka County Juvenile Center in Lino Lakes - Counselor
Anoka County Juvenile Center - NPI 1417154220
Anoka County Juvenile Center is a Counselor in Lino Lakes, Minnesota. Anoka County Juvenile Center practices all healthcare services and medical treatments related to Counselor. The NPI Number for Anoka County Juvenile Center is 1417154220. The last update date is 2020-08-22.
Anoka County Juvenile Center's current location address is 7555 4th Ave, Lino Lakes, Minnesota. You can contact this provider via phone number 6517837502 and fax number 6517838160. The mailing address for Anoka County Juvenile Center is 7555 4th Ave, Lino Lakes, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Anoka County Juvenile Center |
|---|---|
| Address | 7555 4th Ave, Lino Lakes, Minnesota |
| Phone Number | 6517837502 |
| Fax Number | 6517838160 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Moser Melinda Susan |
| Telephone Number | 6517837502 |
NPI Number Detail
| NPI Number | 1417154220 |
|---|---|
| Provider Enumeration Date | 2007-06-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 7555 4th Ave |
|---|---|
| City | Lino Lakes |
| State | Minnesota (MN) |
| Post Code | 550141068 |
| Phone Number | 6517837502 |
| Fax Number | 6517838160 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 1036841-1-CR |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique 10-digit identifier code issued to Anoka County Juvenile Center by the Centers for Medicare & Medicaid Services?
The Anoka County Juvenile Center has been assigned the NPI (National Provider Identifier) 1417154220 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Anoka County Juvenile Center is physically located?
The Anoka County Juvenile Center is physically situated at the following address: 7555 4Th Ave, Lino Lakes, MN, 550141068.
What is Anoka County Juvenile Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Anoka County Juvenile Center's specialized field of practice is Counselor, and the corresponding taxonomy code that categorizes this area of specialization is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417154220 to Anoka County Juvenile Center?
The Anoka County Juvenile Center received its 1417154220 assignment from the Centers for Medicare & Medicaid Services on 2007-06-27.
As of what date were the details related to Anoka County Juvenile Center most recently updated or revised?
The information pertaining to Anoka County Juvenile Center, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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