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Organization

ATTACHMENT AND FAMILY CENTER OF MINNESOTA

Active
Other names
Family Attachment and Counseling Center
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY TODD NICHOLS (EXESCUTIVE DIRECTOR)
(952) 234-4632
Entity
Organization

Contact information

Practice address
102 N CHESTNUT ST, CHASKA, MN 55318-1918
(952) 475-2818
(952) 475-3356
Mailing address
102 N CHESTNUT ST, CHASKA, MN 55318-1918
(952) 475-2818
(952) 475-3356

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05142700
MN
05
118447400
MN
Enumeration date
11/20/2006
Last updated
05/10/2020
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