Organization
DEEP HAVEN COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN O. WATSON LICSW (DIRECTOR)
(952) 300-0556
Entity
Organization
Contact information
Practice address
4300 BAKER RD, MINNETONKA, MN 55343-8600
(952) 300-0556
Mailing address
4300 BAKER RD, MINNETONKA, MN 55343-8600
(952) 300-0556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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