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Organization
NORTH STAR COUNSELING & MEDIATION SERVICES PSC
Active
Organization
NORTH STAR COUNSELING & MEDIATION SERVICES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARL NOLTING LIC PSYCHOLOGIST LP (PRES)
(651) 636-9100
Entity
Organization
Contact information
Practice address
3116 FAIRVIEW AVE NORTH, STE B, ST PAUL, MN 55113-1203
(651) 636-9100
(651) 634-3712
Mailing address
3116 FAIRVIEW AVE NORTH, STE B, ST PAUL, MN 55113-1203
(651) 636-9100
(651) 634-3712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LP0594
MN
1041C0700X
Clinical Social Worker
Primary
08378
MN
106H00000X
Marriage & Family Therapist
0628
MN
Other
Enumeration date
09/20/2006
Last updated
09/11/2025
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