Organization
STEPS FOR CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANAE OLSON LPCC (EXECUTIVE DIRECTOR)
(503) 550-4433
Entity
Organization
Contact information
Practice address
6040 EARLE BROWN DR, BROOKLYN CENTER, MN 55430-2514
(503) 550-4433
Mailing address
6040 EARLE BROWN DR, BROOKLYN CENTER, MN 55430-2514
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
CC00245
MN
251S00000X
Community/Behavioral Health Agency
Primary
CC01030
MN
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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