| Dan Christensen-cowan Licsw, L.l.c. | |
|
675 Cheyenne Ln Mendota Heights MN 55120-1687 | |
| (651) 216-1202 | |
| Not Available |
| Full Name | Dan Christensen-cowan Licsw, L.l.c. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 675 Cheyenne Ln, Mendota Heights, Minnesota |
| Authorized Official Name and Position | Daniel Grant Christensen-cowan (PSYCHOTHERAPIST) |
| Authorized Official Contact | 6512161202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dan Christensen-cowan Licsw, L.l.c. 675 Cheyenne Ln Mendota Heights MN 55120-1687 Ph: (651) 216-1202 | Dan Christensen-cowan Licsw, L.l.c. 675 Cheyenne Ln Mendota Heights MN 55120-1687 Ph: (651) 216-1202 |
| NPI Number | 1124525142 |
|---|---|
| Provider Enumeration Date | 04/06/2018 |
| Last Update Date | 07/08/2022 |
| Certification Date | 07/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124525142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 21019 (Minnesota) | Primary |
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