| Cortesia Counseling Llc | |
|
11670 Fountains Dr Ste 200 Maple Grove MN 55369-7195 | |
| (763) 229-7633 | |
| Not Available |
| Full Name | Cortesia Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11670 Fountains Dr Ste 200, Maple Grove, Minnesota |
| Authorized Official Name and Position | Julie Bosacker (OWNER) |
| Authorized Official Contact | 7632297633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cortesia Counseling Llc 11670 Fountains Dr Ste 200 Maple Grove MN 55369-7195 Ph: (763) 229-7633 | Cortesia Counseling Llc 11670 Fountains Dr Ste 200 Maple Grove MN 55369-7195 Ph: (763) 229-7633 |
| NPI Number | 1538972971 |
|---|---|
| Provider Enumeration Date | 01/29/2025 |
| Last Update Date | 01/29/2025 |
| Certification Date | 01/29/2025 |
| Medicare PECOS PAC ID | 3274063847 |
|---|---|
| Medicare Enrollment ID | O20250212000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538972971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Julie Bosacker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043635055 PECOS PAC ID: 3577907922 Enrollment ID: I20240214000759 |
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