Organization
WOODCREST COUNSELING, INC
Active
Other names
Thomas M Graske, M.A., L.P.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MICHAEL GRASKE M.A., L.P. (PSYCHOLOGIST / OWNER)
(763) 753-1785
Entity
Organization
Contact information
Practice address
521 TANGLEWOOD DR, SHOREVIEW, MN 55126-2016
(763) 753-1785
(763) 753-1753
Mailing address
521 TANGLEWOOD DR, SHOREVIEW, MN 55126-2016
(763) 753-1785
(763) 753-1753
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3334
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP3334
MN BOARD OF PSYCHOLOGY
MN
Enumeration date
07/08/2005
Last updated
08/22/2020
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