Organization
REGROUP COUNSELING AND CONSULTING PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIA M DVORAK LMFT (OWNER THERAPIST)
(763) 350-9687
Entity
Organization
Contact information
Practice address
18336 JOPLIN ST NW, ELK RIVER, MN 55330-1773
(763) 350-9687
(651) 447-5394
Mailing address
586 DODGE AVE NW STE B, ELK RIVER, MN 55330-1913
(763) 350-9687
(651) 447-5394
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194298026
—
MN
Enumeration date
01/03/2019
Last updated
02/25/2025
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