Organization
HARVODES BEREAVEMENT AND LOSS CENTER, INC
Active
Organization
HARVODES BEREAVEMENT AND LOSS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY ANDERSON MA, MA, PHD (FOUNDER/MENTAL HEALTH CLINICAN)
(320) 259-7706
Entity
Organization
Contact information
Practice address
2700 1ST ST N STE 103, SAINT CLOUD, MN 56303-4202
(320) 259-7706
(320) 251-4590
Mailing address
2700 1ST ST N STE 103, SAINT CLOUD, MN 56303-4202
(320) 259-7706
(320) 251-4590
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
300215
MN
1041C0700X
Clinical Social Worker
Primary
12688
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
347720700
MEDICAL ASSISTANCE/MINNESOTA CARE
MN
Enumeration date
09/07/2008
Last updated
06/17/2022
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