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Organization
MINNESOTA RENEWAL CENTER
Active
Organization
MINNESOTA RENEWAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA COOK MA, LMFT (EXECUTIVE DIRECTOR)
(651) 486-4828
Entity
Organization
Contact information
Practice address
3499 LEXINGTON AVE N, SUITE 100, ST. PAUL, MN 55126-7058
(651) 486-4828
(651) 482-9119
Mailing address
3499 LEXINGTON AVE. N, SUITE 100, ST. PAUL, MN 55126-7058
(651) 486-4828
(651) 482-9119
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103T00000X
Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
03/23/2007
Last updated
05/03/2024
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