Organization
CAROLYN DISCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN E DISCH LICSW (THERAPIST)
(612) 325-6904
Entity
Organization
Contact information
Practice address
8120 PENN AVE S STE 500F, BLOOMINGTON, MN 55431-1367
(612) 325-6904
Mailing address
8120 PENN AVE S STE 500F, BLOOMINGTON, MN 55431-1367
(612) 325-6904
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649910985
NPI
MN
Enumeration date
02/15/2023
Last updated
02/15/2023
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