# NORTH SUBURBAN COUNSELING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619961711
- **Authorized official:** GRETCHEN WESCHE SHERMAN LICSW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (763) 784-3008

## Contact information

- **Practice address:** 425 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2753
- **Practice address phone:** (763) 784-3008
- **Practice address fax:** (763) 784-3647
- **Mailing address:** 425 COON RAPIDS BLVD. NW, COON RAPIDS, MN 55433
- **Mailing address phone:** (763) 784-3008
- **Mailing address fax:** (763) 784-3647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 801741-1 MHC | MN | Yes |

## Other

- **Enumeration date:** 09/02/2005
- **Last updated:** 08/22/2020