Organization
CEDAR VALLEY CENTER FOR CHILD & FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN OUDEKERK (CLINIC OWNER)
(763) 229-3100
Entity
Organization
Contact information
Practice address
7675 MN 13 W, SAVAGE, MN 55378
(763) 229-3100
Mailing address
3460 WASHINGTON DR, SUITE 110, EAGAN, MN 55122-1338
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MN
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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