Central Minnesota Couseling Center, Inc. in Saint Cloud - Clinical Child & Adolescent

Central Minnesota Couseling Center, Inc. - NPI 1457544686

Central Minnesota Couseling Center, Inc. is a Clinical Child & Adolescent in Saint Cloud, Minnesota. Central Minnesota Couseling Center, Inc. practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Central Minnesota Couseling Center, Inc. is 1457544686. The last update date is 2015-12-23.

Central Minnesota Couseling Center, Inc.'s current location address is 1500 Northway Dr, Saint Cloud, Minnesota. You can contact this provider via phone number 3202534321 and fax number 3202408525. The mailing address for Central Minnesota Couseling Center, Inc. is 1500 Northway Dr, Saint Cloud, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Central Minnesota Couseling Center, Inc.
Address 1500 Northway Dr, Saint Cloud, Minnesota
Phone Number 3202534321
Fax Number 3202408525
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/PSYC
Authorized Official Name Andersen O. Dennis
Credentials M.A. L.P.
Telephone Number 3202534321

NPI Number Detail

NPI Number 1457544686
Provider Enumeration Date 2007-08-21
Last Updated Date 2015-12-23

Provider Mailing Address Detail

Address 1500 Northway Dr
City Saint Cloud
State Minnesota (MN)
Post Code 563034477
Phone Number 3202534321
Fax Number 3202408525

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1710992243 MN --
1033200233 MN --
1699882217 MN --
1770690380 MN --

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FAQs about Central Minnesota Couseling Center, Inc.

What is the Central Minnesota Couseling Center, Inc.'s 1457544686?

The Central Minnesota Couseling Center, Inc.'s NPI (National Provider Identifier) Number is 1457544686. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Central Minnesota Couseling Center, Inc.?

The Central Minnesota Couseling Center, Inc. is physically situated at 1500 Northway Dr, in the city of Saint Cloud, state of MN, with the postal code 563034477.

What is Central Minnesota Couseling Center, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Central Minnesota Couseling Center, Inc. is Clinical Child & Adolescent, and the taxonomy code that classifies this field of practice is 103Tc2200X.

When was the Central Minnesota Couseling Center, Inc.'s 1457544686 issued?

The Central Minnesota Couseling Center, Inc.'s 1457544686 was issued on 2007-08-21.

When was the Central Minnesota Couseling Center, Inc.'s information last updated?

The Central Minnesota Couseling Center, Inc.'s information was last updated on 2015-12-23.

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