Organization
WACONIA COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK GORDON RODNING MA LPCC LP (OWNER)
(612) 636-0136
Entity
Organization
Contact information
Practice address
1992 STARLIGHT DR, WACONIA, MN 55387-8607
(612) 636-0136
(952) 442-8607
Mailing address
1992 STARLIGHT DR, WACONIA, MN 55387-8607
(612) 636-0136
(952) 442-8607
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
00010
MN
251S00000X
Community/Behavioral Health Agency
5459
MN
Other
Enumeration date
03/10/2012
Last updated
03/10/2012
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