Individual
MRS. ALICE I CONGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.C.
Contact information
Practice address
3833 COON RAPIDS BLVD NW, SUITE 120, COON RAPIDS, MN 55433-2643
(763) 767-3350
(763) 767-0912
Mailing address
1900 SILVER LAKE ROAD NW, SUITE 110, NEW BRIGHTON, MN 55112
(651) 379-1718
(651) 379-1738
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00957
MN
101YS0200X
School Counselor
463353
MN
Other
Enumeration date
01/21/2016
Last updated
04/19/2016
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