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Organization
PROFESSIONAL COUNSELING CENTER
Active
Organization
PROFESSIONAL COUNSELING CENTER
Active
Parent organization
NORTHERN INTEGRATED HEALTH, INC.
Other names
Professional Counseling Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHERN INTEGRATED HEALTH, INC.
Authorized official
DR. LOIS COCHRANE SCHLUTTER PH.D. (OWNER, DIRECTOR)
(952) 548-9340
Entity
Organization
Contact information
Practice address
7 HIGHWAY 55 WEST, UNIT 3, WRIGHT ONE PLAZA, BUFFALO, MN 55313
(763) 682-2829
Mailing address
7 HIGHWAY 55 WEST, UNIT 3, WRIGHT ONE PLAZA, BUFFALO, MN 55313
(763) 682-2829
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1058889
MN
251S00000X
Community/Behavioral Health Agency
1058889
MN
Other
Enumeration date
12/23/2010
Last updated
12/23/2010
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