Organization
GENERATIONS COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIONNE MARIE BLOOD MSW, LICSW (OWNER)
(612) 655-7678
Entity
Organization
Contact information
Practice address
1595 SELBY AVE STE 203, SAINT PAUL, MN 55104-4528
(612) 655-7678
Mailing address
1620 RHODE ISLAND AVE N, GOLDEN VALLEY, MN 55427-4065
(612) 655-7678
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16475
MN
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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