Constance Jo Vandergon in Coon Rapids - Counseling
Constance Jo Vandergon - NPI 1265522213
Constance Jo Vandergon is a Counseling in Coon Rapids, Minnesota. Constance Jo Vandergon practices all healthcare services and medical treatments related to Counseling. The NPI Number for Constance Jo Vandergon is 1265522213. The last update date is 2018-10-24.
Constance Jo Vandergon's current location address is 1930 Coon Rapids Blvd Nw, Coon Rapids, Minnesota. You can contact this provider via phone number 7634277964 and fax number 7634277976. The mailing address for Constance Jo Vandergon is 1930 Coon Rapids Blvd Nw, Coon Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Constance Jo Vandergon |
|---|---|
| Address | 1930 Coon Rapids Blvd Nw, Coon Rapids, Minnesota |
| Phone Number | 7634277964 |
| Fax Number | 7634277976 |
| Sole Proprietor | N |
| Credentials | M.S., L.P. |
NPI Number Detail
| NPI Number | 1265522213 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2018-10-24 |
Provider Mailing Address Detail
| Address | 1930 Coon Rapids Blvd Nw |
|---|---|
| City | Coon Rapids |
| State | Minnesota (MN) |
| Post Code | 554334708 |
| Phone Number | 7634277964 |
| Fax Number | 7634277976 |
Provider's Primary Taxonomy Detail
| Speciality | Counseling |
|---|---|
| Taxonomy | 103Tc1900X |
| Licence No | LP2496 |
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Definition: A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health c |
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What is the unique identification code assigned to Constance Jo Vandergon by the Centers for Medicare & Medicaid Services?
The Constance Jo Vandergon has been issued the NPI (National Provider Identifier) 1265522213. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Constance Jo Vandergon?
The Constance Jo Vandergon is situated at 1930 Coon Rapids Blvd Nw, in the city of Coon Rapids, state of MN, with the zip code 554334708.
What is Constance Jo Vandergon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Constance Jo Vandergon's specialized field of practice is Counseling, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc1900X.
On what date did the Constance Jo Vandergon receive its 1265522213 assignment from the Centers for Medicare & Medicaid Services?
The Constance Jo Vandergon was assigned its 1265522213 by the Centers for Medicare & Medicaid Services on 2006-10-13.
As of what date were the Constance Jo Vandergon's details last updated?
The information pertaining to the Constance Jo Vandergon, including its address, specialty, and other details, was most recently updated on 2018-10-24.
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