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Organization
NEBULA HEALTH SERVICES LLC
Active
Organization
NEBULA HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE KOSKI LICSW,MSW (ADMINISTRATOR)
(651) 674-9928
Entity
Organization
Contact information
Practice address
38460 LINCOLN TRL, STE 106B, NORTH BRANCH, MN 55056-5834
(651) 277-4283
(651) 277-4284
Mailing address
PO BOX 97, NORTH BRANCH, MN 55056-0097
(651) 277-4283
(651) 277-4284
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
111N00000X
Chiropractor
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/18/2016
Last updated
01/12/2017
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