Organization
KALEIDOSCOPE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SUAREZ (CHILD DEV. CONSULTANT AND LAMFT)
(612) 220-1642
Entity
Organization
Contact information
Practice address
5871 CEDAR LAKE RD S, SUITE 210, SAINT LOUIS PARK, MN 55416-1472
(612) 220-1642
Mailing address
3329 COLFAX AVE S, MINNEAPOLIS, MN 55408-3508
(612) 220-1642
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
3352
MN
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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