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Organization
NEW GUIDANCE COUNSELING CLINIC
Active
Organization
NEW GUIDANCE COUNSELING CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BURKETT (OFFICE MANAGER)
(763) 494-4404
Entity
Organization
Contact information
Practice address
8557 WYOMING AVE NORTH, BROOKLYN CENTER, MN 55445
(763) 449-4404
(763) 494-5503
Mailing address
8557 WYOMING AVE NORTH, BROOKLYN CENTER, MN 55445
(763) 449-4404
(763) 494-5503
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1017289-3-CDT
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H32NE
BCBS
MN
01
—
172645
UCARE
MN
01
—
8462994
MEDICA
MN
01
—
8462995
MEDICA
MN
01
—
8462996
MEDICA
MN
01
—
8462997
MEDICA
MN
01
—
98112
HEALTH PARTNERS
MN
Enumeration date
05/02/2007
Last updated
08/22/2020
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