Organization
HAVENS OF MINNESOTA LLC
Active
Other names
The Haven in Cloquet
Organization subpart
No
Provider details
NPI number
Authorized official
TEDD HERMAN (CEO)
(612) 895-4605
Entity
Organization
Contact information
Practice address
1003 CLOQUET AVE STE 117, CLOQUET, MN 55720-1649
(218) 879-5545
Mailing address
2101 WOODDALE DR STE B, WOODBURY, MN 55125-4442
(651) 734-9633
(651) 734-9533
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/14/2022
Last updated
02/13/2025
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