Individual
AUSTIN DECOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPCC
Contact information
Practice address
516 BELTRAMI AVE NW, BEMIDJI, MN 56601-3010
(218) 444-2845
(218) 444-2847
Mailing address
516 BELTRAMI AVE NW, BEMIDJI, MN 56601-3010
(218) 444-2845
(218) 444-2847
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00795
MN
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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