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Organization
HENNEPIN COUNTY
Active
Organization
HENNEPIN COUNTY
Active
Other names
Hennepin County Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE VAN KEULEN (ADMINISTRATIVE MANAGER)
(612) 596-0841
Entity
Organization
Contact information
Practice address
1801 NICOLLET AVE, MINNEAPOLIS, MN 55403-3793
(612) 596-0857
Mailing address
1801 NICOLLET AVE, MINNEAPOLIS, MN 55403-3793
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07655
SOCIAL WORK LICENSE
MN
Enumeration date
05/23/2007
Last updated
08/22/2020
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