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Organization

BETHANY CHRISTIAN SERVICES OF MINNESOTA

Active
Parent organization
BETHANY CHRISTIAN SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
BETHANY CHRISTIAN SERVICES
Authorized official
GLORIA PETERSON LICSW (CLINICIAN)
(763) 553-0344
Entity
Organization

Contact information

Practice address
3131 FERNBROOK LN N STE 204, PLYMOUTH, MN 55447-5337
(763) 553-0344
(763) 553-0117
Mailing address
3131 FERNBROOK LN N STE 204, PLYMOUTH, MN 55447-5337
(763) 553-0344
(763) 553-0117

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00747
MN

Other

Enumeration date
06/26/2013
Last updated
03/31/2020
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