| Clear Passage Counseling | |
|
7671 Old Central Ave Ne Suite 202 Fridley MN 55432-3575 | |
| (763) 786-8067 | |
| (763) 786-5080 |
| Full Name | Clear Passage Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7671 Old Central Ave Ne, Fridley, Minnesota |
| Authorized Official Name and Position | William Leonard Hicks (OWNER) |
| Authorized Official Contact | 7637868067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Passage Counseling 7671 Old Central Ave Ne Suite 208 Fridley MN 55432-3575 Ph: (763) 786-8067 | Clear Passage Counseling 7671 Old Central Ave Ne Suite 202 Fridley MN 55432-3575 Ph: (763) 786-8067 |
| NPI Number | 1609152198 |
|---|---|
| Provider Enumeration Date | 10/27/2011 |
| Last Update Date | 11/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609152198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Minnesota) | Primary |
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