Organization
ASSOCIATED COUNSELING SERVICES, PLLC
Active
Other names
Associated Counseling Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAIL ROSE MAUDAL PH.D., L.P. (PRESIDENT)
(651) 484-1544
Entity
Organization
Contact information
Practice address
2625 EDGERTON ST, LITTLE CANADA, MN 55117-1620
(651) 484-1544
(651) 415-1337
Mailing address
2625 EDGERTON ST, LITTLE CANADA, MN 55117-1620
(651) 484-1544
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
LP1096
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093859332
NPI
MN
Enumeration date
02/19/2007
Last updated
02/01/2011
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