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779 RIVERSIDE RECOVERY & COUNSELING SERVICES

Organization (NPI-2) Active

Counselor, Addiction (Substance Use Disorder)

Provider Information

NPI Number
1437636131
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
4940 W 77TH ST, EDINA, MN, 554354805
Phone
(612) 223-6622

Specialties & Taxonomies

Counselor License: MN #00935
Counselor, Mental Health License: MN #00935
Counselor, Professional License: MN #00935
Psychologist, Cognitive & Behavioral License: MN #00935
Psychologist, Clinical License: MN #00935
Psychologist, Group Psychotherapy License: MN #00935
Clinic/Center, Adult Mental Health License: MN #00935
Clinic/Center, Adolescent and Children Mental Health License: MN #00935
Counselor, Addiction (Substance Use Disorder) Primary License: MN #303344

All Addresses

MAILING

8014 HIGHWAY 55 UNIT 197

GOLDEN VALLEY, MN, 554274712

(612) 223-6622

LOCATION

4940 W 77TH ST

EDINA, MN, 554354805

(612) 223-6622