| Progressive Individual Resources Ii | |
|
33 Wentworth Ave E Ste 350 West Saint Paul MN 55118-0014 | |
| (651) 222-6567 | |
| Not Available |
| Full Name | Progressive Individual Resources Ii |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 33 Wentworth Ave E Ste 350, West Saint Paul, Minnesota |
| Authorized Official Name and Position | Nicole Hanson (PART OWNER) |
| Authorized Official Contact | 6512226567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Individual Resources Ii 33 Wentworth Ave E Ste 350 West Saint Paul MN 55118-0014 Ph: () - | Progressive Individual Resources Ii 33 Wentworth Ave E Ste 350 West Saint Paul MN 55118-0014 Ph: (651) 222-6567 |
| NPI Number | 1881589042 |
|---|---|
| Provider Enumeration Date | 06/10/2025 |
| Last Update Date | 06/18/2025 |
| Certification Date | 06/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881589042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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