Organization
HOPE REINS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE R KNUDSEN LPCC (OWNER/CLINIC DIRECTOR)
(651) 217-8510
Entity
Organization
Contact information
Practice address
36097 COUNTY 5 BLVD, LAKE CITY, MN 55041-3303
(651) 217-8510
Mailing address
36097 COUNTY 5 BLVD, LAKE CITY, MN 55041-3303
(651) 217-8510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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