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Organization

DAKOTA THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAKOTA MICHAEL BAKER L.P.C.C, L.A.D.C. (C.E.O.)
(651) 207-5000
Entity
Organization

Contact information

Practice address
2278 COUNTY ROAD E W, NEW BRIGHTON, MN 55112-7141
(651) 207-5000
Mailing address
1405 SILVER LAKE RD NW, SUITE 17, NEW BRIGHTON, MN 55112-9301
(651) 207-5000

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CC00048
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
301739
MN
101YM0800X
Mental Health Counselor
CC00048
MN
101YP2500X
Professional Counselor
Primary
CC00048
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1265769418
I HAVE AN OTHER NPI NUMBER FOR WORKING IN ANOTHER CLINIC, NOT MY BUSINESS
MN
Enumeration date
09/15/2010
Last updated
09/15/2010
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