Deep River Counseling Llc | |
1611 County Road B W Ste 201 Roseville MN 55113-4107 | |
(651) 243-0077 | |
(651) 273-2201 |
Full Name | Deep River Counseling Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 1611 County Road B W, Roseville, Minnesota |
Authorized Official Name and Position | Joseph Morcomb (OWNER) |
Authorized Official Contact | 6512430077 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Deep River Counseling Llc 1611 County Road B W Ste 201 Roseville MN 55113-4107 Ph: (651) 243-0077 | Deep River Counseling Llc 1611 County Road B W Ste 201 Roseville MN 55113-4107 Ph: (651) 243-0077 |
NPI Number | 1659147429 |
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Provider Enumeration Date | 12/01/2023 |
Last Update Date | 03/07/2024 |
Certification Date | 03/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659147429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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