Organization
MIKE MAREK COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE MAREK MA LPC (PSYCHOTHERAPIST)
(651) 308-0450
Entity
Organization
Contact information
Practice address
1405 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-9301
(651) 308-0450
Mailing address
615 PASCAL ST N, SAINT PAUL, MN 55104-2443
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
01671
MN
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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