Organization
NORTH STAR MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLO A. GIACOMONI PSYD (PSYCHOLOGIST)
(763) 232-8901
Entity
Organization
Contact information
Practice address
2984 RICE ST, LITTLE CANADA, MN 55113-2230
(651) 314-4350
Mailing address
2984 RICE ST, LITTLE CANADA, MN 55113-2230
(651) 314-4350
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5506
MN
Other
Enumeration date
02/01/2013
Last updated
03/04/2016
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