Organization
SEASONS CHANGE COUNSELING CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN COLE MSW, LGSW, LADC (FOUNDER/PSYCHOTHERAPIST)
(651) 341-4311
Entity
Organization
Contact information
Practice address
8170 OLD CARRIAGE COURT NORTH, SUITE 241, SHAKOPEE, MN 55379
(651) 341-4311
Mailing address
8170 OLD CARRIAGE COURT NORTH, SUITE 241, SHAKOPEE, MN 55379
(651) 341-4311
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
24538
MN
251S00000X
Community/Behavioral Health Agency
24576
MN
251S00000X
Community/Behavioral Health Agency
24668
MN
251S00000X
Community/Behavioral Health Agency
24717
MN
251S00000X
Community/Behavioral Health Agency
302950
MN
251S00000X
Community/Behavioral Health Agency
303415
MN
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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