| Deep Lake Counseling Services Ltd | |
|
15611 Yakima St Nw Ramsey MN 55303-4262 | |
| (763) 233-2870 | |
| Not Available |
| Full Name | Deep Lake Counseling Services Ltd |
|---|---|
| Speciality | Counselor - Professional |
| Location | 15611 Yakima St Nw, Ramsey, Minnesota |
| Authorized Official Name and Position | Brian Thomas Wilton (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7632332870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deep Lake Counseling Services Ltd 15611 Yakima St Nw Ramsey MN 55303-4262 Ph: (763) 233-2870 | Deep Lake Counseling Services Ltd 15611 Yakima St Nw Ramsey MN 55303-4262 Ph: (763) 233-2870 |
| NPI Number | 1972445997 |
|---|---|
| Provider Enumeration Date | 04/08/2026 |
| Last Update Date | 04/08/2026 |
| Certification Date | 04/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972445997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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