| Central Minnesota Couseling Center, Inc. | |
|
1500 Northway Dr Suite 1 Saint Cloud MN 56303-4477 | |
| (320) 253-4321 | |
| (320) 240-8525 |
| Full Name | Central Minnesota Couseling Center, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1500 Northway Dr, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Dennis O. Andersen (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 3202534321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Minnesota Couseling Center, Inc. 1500 Northway Dr Suite 1 Saint Cloud MN 56303-4477 Ph: (320) 253-4321 | Central Minnesota Couseling Center, Inc. 1500 Northway Dr Suite 1 Saint Cloud MN 56303-4477 Ph: (320) 253-4321 |
| NPI Number | 1457544686 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 12/23/2015 |
| Medicare PECOS PAC ID | 7517042096 |
|---|---|
| Medicare Enrollment ID | O20080307000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457544686 | NPI | - | NPPES |
| 1710992243 | Medicaid | MN | |
| 1033200233 | Medicaid | MN | |
| 1699882217 | Medicaid | MN | |
| 1770690380 | Medicaid | MN |
| Provider Name | James Rudolph Tuorila |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710992243 PECOS PAC ID: 7012174923 Enrollment ID: I20120204000043 |
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