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Organization
MONARCH COUNSELING COLLABORATIVE PA
Active
Organization
MONARCH COUNSELING COLLABORATIVE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENAE REANNE KUENZEL PSYD, LP, RD, LD (LICENSED PSYCHOLOGIST)
(763) 445-9758
Entity
Organization
Contact information
Practice address
21308 JOHN MILLESS DR STE 206, ROGERS, MN 55374-4870
(763) 445-9758
Mailing address
21308 JOHN MILLESS DR STE 206, ROGERS, MN 55374-4870
(763) 445-9758
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033446331
—
MN
Enumeration date
07/08/2024
Last updated
08/26/2024
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