| Associated Counseling Services, Pllc | |
|
2625 Edgerton St Little Canada MN 55117-1620 | |
| (651) 484-1544 | |
| (651) 415-1337 |
| Full Name | Associated Counseling Services, Pllc |
|---|---|
| Speciality | Psychologist - Forensic |
| Location | 2625 Edgerton St, Little Canada, Minnesota |
| Authorized Official Name and Position | Gail Rose Maudal (PRESIDENT) |
| Authorized Official Contact | 6514841544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Counseling Services, Pllc 2625 Edgerton St Little Canada MN 55117-1620 Ph: (651) 484-1544 | Associated Counseling Services, Pllc 2625 Edgerton St Little Canada MN 55117-1620 Ph: (651) 484-1544 |
| NPI Number | 1093859332 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 02/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093859332 | NPI | - | NPPES |
| 1093859332 | Other | MN | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TF0200X | Psychologist - Forensic | LP1096 (Minnesota) | Primary |
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