Organization
KENWOOD THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER H BERA PHD, LP (DIRECTOR)
(612) 377-9190
Entity
Organization
Contact information
Practice address
2809 WAYZATA BLVD, MINNEAPOLIS, MN 55405-2131
(612) 377-9190
(612) 374-4498
Mailing address
2809 WAYZATA BLVD, MINNEAPOLIS, MN 55405-2131
(612) 377-9190
(612) 374-4498
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/13/2006
Last updated
12/28/2007
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