| Ark Counseling | |
|
13895 Industrial Park Blvd Plymouth MN 55441-3723 | |
| (763) 559-5677 | |
| Not Available |
| Full Name | Ark Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 13895 Industrial Park Blvd, Plymouth, Minnesota |
| Authorized Official Name and Position | Jerry Lee Holt (PROGRAM DIRECTOR) |
| Authorized Official Contact | 7635595677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ark Counseling 13895 Industrial Park Blvd Plymouth MN 55441-3700 Ph: (763) 559-5677 | Ark Counseling 13895 Industrial Park Blvd Plymouth MN 55441-3723 Ph: (763) 559-5677 |
| NPI Number | 1740576354 |
|---|---|
| Provider Enumeration Date | 06/22/2011 |
| Last Update Date | 07/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740576354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 302560 (Minnesota) | Secondary |
| 101YM0800X | Counselor - Mental Health | 00416 (Minnesota) | Primary |
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