| Caring Path Counseling Llc | |
|
611 Interlachen Ave Oregon WI 53575 | |
| (651) 200-8788 | |
| Not Available |
| Full Name | Caring Path Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 611 Interlachen Ave, Oregon, Wisconsin |
| Authorized Official Name and Position | Justin David Less (THERAPIST/OWNER) |
| Authorized Official Contact | 6512008788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caring Path Counseling Llc 13800 Nicollet Blvd Unit 1941 Burnsville MN 55337-6143 Ph: (651) 200-8788 | Caring Path Counseling Llc 611 Interlachen Ave Oregon WI 53575 Ph: (651) 200-8788 |
| NPI Number | 1417218223 |
|---|---|
| Provider Enumeration Date | 06/07/2012 |
| Last Update Date | 07/26/2023 |
| Certification Date | 07/24/2023 |
| Medicare PECOS PAC ID | 9739335522 |
|---|---|
| Medicare Enrollment ID | O20120809000953 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417218223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 17750 (Minnesota) | Primary |
| Provider Name | Justin D Less |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508033739 PECOS PAC ID: 2668528043 Enrollment ID: I20090928000112 |
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