Organization
CHALE CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMONE FULLER LICSW (PRESIDENT)
(612) 644-3380
Entity
Organization
Contact information
Practice address
1800 CLINTON AVE, MINNEAPOLIS, MN 55404-2468
(612) 644-3380
Mailing address
1800 CLINTON AVE APT 103, MINNEAPOLIS, MN 55404-2469
(612) 644-3380
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891339271
EMPLOYER
MN
Enumeration date
06/14/2021
Last updated
06/14/2021
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