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Organization
NORTHERNWATERS COUNSELING LLC
Active
Organization
NORTHERNWATERS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA ODDEN (OWNER)
(218) 296-0632
Entity
Organization
Contact information
Practice address
14091 BAXTER DR STE 112, BAXTER, MN 56425-8703
(218) 296-0632
Mailing address
14091 BAXTER DR STE 112, BAXTER, MN 56425-8703
(218) 296-0632
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
06/28/2026
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