Organization
CITY OF WHITE BEAR LAKE MN
Active
Other names
White Bear Lake Area Community Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE BELLE WILLIAMS MSW LICSW LP LMFT LI (DIRECTOR ADMINISTRATIVE & CLINICAL)
(651) 429-8544
Entity
Organization
Contact information
Practice address
1280 NORTH BIRCH LAKE BLVD, WHITE BEAR LAKE AREA COMMUNITY COUNSELING CENTER, WHITE BEAR LAKE, MN 55110-6708
(651) 429-8544
(651) 407-5301
Mailing address
1280 NORTH BIRCH LAKE BLVD, WHITE BEAR LAKE AREA COMMUNITY COUNSELING CENTER, WHITE BEAR LAKE, MN 55110-6708
(651) 429-8544
(651) 407-5301
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
8026811MHC
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102981
UCARE MINNESOTA CLINIC #
MN
01
—
29626WH
BLUE CROSS BLUE SHIELD
MN
01
—
N008855
CHAMPUS CLINIC #
—
Enumeration date
11/14/2006
Last updated
08/22/2020
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