Organization
CASPERSEN, LLC
Active
Other names
Caspersen Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN R. STILLMAN LICSW (OWNER)
(612) 558-2705
Entity
Organization
Contact information
Practice address
4284 DAHLBERG DR, GOLDEN VALLEY, MN 55422-4805
(952) 428-6332
(952) 562-2827
Mailing address
4284 DAHLBERG DR, GOLDEN VALLEY, MN 55422-4805
(952) 428-6332
(952) 562-2827
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
12770
MN
Other
Enumeration date
07/13/2011
Last updated
07/13/2021
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