Organization
VICTOR COUNSELING AND CONSULTANT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BUCHANAN (BILLING REP)
(724) 349-5800
Entity
Organization
Contact information
Practice address
6043 HUDSON RD STE 355, WOODBURY, MN 55125-1017
(651) 434-9186
Mailing address
6043 HUDSON RD STE 355, WOODBURY, MN 55125-1017
(651) 434-9186
(724) 349-1697
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184178162
NPI
MN
Enumeration date
11/20/2017
Last updated
04/20/2018
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