| Path Of Life Counseling | |
|
2042 Wooddale Dr Ste 250 Woodbury MN 55125-4421 | |
| (651) 212-7111 | |
| Not Available |
| Full Name | Path Of Life Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2042 Wooddale Dr Ste 250, Woodbury, Minnesota |
| Authorized Official Name and Position | Chong Chang (OWNER/PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 6513003328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Path Of Life Counseling 2042 Wooddale Dr Ste 250 Woodbury MN 55125-4421 Ph: (651) 300-3328 | Path Of Life Counseling 2042 Wooddale Dr Ste 250 Woodbury MN 55125-4421 Ph: (651) 212-7111 |
| NPI Number | 1093390478 |
|---|---|
| Provider Enumeration Date | 03/16/2021 |
| Last Update Date | 03/16/2021 |
| Certification Date | 03/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093390478 | NPI | - | NPPES |
| 981932200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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