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. |
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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 |
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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 |
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Provider Enumeration Date | 08/21/2007 |
Last Update Date | 12/23/2015 |
Medicare PECOS PAC ID | 7517042096 |
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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 |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1710992243 PECOS PAC ID: 7012174923 Enrollment ID: I20120204000043 |
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