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Organization
WALKING TREE COUNSELING
Active
Organization
WALKING TREE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA M MOSTOLLER LICSW (MEMBER)
(651) 368-5080
Entity
Organization
Contact information
Practice address
6230 10TH ST N, STE#210, OAKDALE, MN 55128-6158
(651) 368-5080
Mailing address
5002 147TH ST W, APPLE VALLEY, MN 55124-6685
(651) 368-5080
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
20849
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508814625
—
SC
Enumeration date
12/03/2013
Last updated
12/03/2013
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