Organization
EFFECTIVE LIVING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN WALKER-STEDHAM MS, LSW, LPC (PRESIDENT)
(320) 259-5381
Entity
Organization
Contact information
Practice address
821 W SAINT GERMAIN ST, SAINT CLOUD, MN 56301-3515
(320) 259-5381
(320) 259-6171
Mailing address
821 W SAINT GERMAIN ST, SAINT CLOUD, MN 56301-3515
(320) 259-5381
(320) 259-6171
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
830523-1-CDT
MN
Other
Enumeration date
08/20/2006
Last updated
08/22/2020
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