| Alliance Family Counseling Llc | |
|
2002 Chippewa Shrs Ely MN 55731-8202 | |
| (612) 242-9455 | |
| Not Available |
| Full Name | Alliance Family Counseling Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2002 Chippewa Shrs, Ely, Minnesota |
| Authorized Official Name and Position | Carolyn Dehnbostel (OWNER) |
| Authorized Official Contact | 6122429455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Family Counseling Llc 2002 Chippewa Shrs Ely MN 55731-8202 Ph: (612) 242-9455 | Alliance Family Counseling Llc 2002 Chippewa Shrs Ely MN 55731-8202 Ph: (612) 242-9455 |
| NPI Number | 1407699838 |
|---|---|
| Provider Enumeration Date | 06/13/2024 |
| Last Update Date | 06/13/2024 |
| Certification Date | 06/13/2024 |
| Medicare PECOS PAC ID | 0446786644 |
|---|---|
| Medicare Enrollment ID | O20241211003185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407699838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Carolyn Dehnbostel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366748576 PECOS PAC ID: 1355877556 Enrollment ID: I20241211003473 |
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