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Organization

ALTERNATIVE COUNSELING CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CHYREE L HUTCHINSON (CEO)
(763) 780-4440
Entity
Organization

Contact information

Practice address
8990 SPRINGBROOK DR NW, SUITE 220, COON RAPIDS, MN 55433-5850
(763) 780-4440
(763) 780-9219
Mailing address
8990 SPRINGBROOK DR NW, SUITE 220, COON RAPIDS, MN 55433-5850
(763) 780-4440
(763) 780-9219

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2641430
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107346
UCARE MINNESOTA
MN
01
2113638
MHP OF MINNESOTA
MN
01
58552AL
BLUE CROSS OF MINNESOTA
MN
01
58554AL
BLUE CROSS OF MINNESOTA
MN
01
6G316AL
BLUE CROSS OF MINNESOTA
MN
Enumeration date
01/17/2007
Last updated
08/22/2020
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