| Champlin Counseling Services | |
|
11326 Maplewood Ln N Champlin MN 55316-3145 | |
| (763) 528-5235 | |
| (763) 424-7288 |
| Full Name | Champlin Counseling Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11326 Maplewood Ln N, Champlin, Minnesota |
| Authorized Official Name and Position | Shelly Marie Davenport (OWNER) |
| Authorized Official Contact | 7635285235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Champlin Counseling Services 11326 Maplewood Ln N Champlin MN 55316-3145 Ph: (763) 528-5235 | Champlin Counseling Services 11326 Maplewood Ln N Champlin MN 55316-3145 Ph: (763) 528-5235 |
| NPI Number | 1194969311 |
|---|---|
| Provider Enumeration Date | 05/01/2009 |
| Last Update Date | 05/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194969311 | NPI | - | NPPES |
| 407168900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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