Organization
OVERSON FAMILY BASED COUNSELING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN OVERSON LICSW (FAMILY BASED THERAPIST)
(507) 327-4064
Entity
Organization
Contact information
Practice address
47205 336TH ST, GAYLORD, MN 55334-2241
(507) 327-4064
(507) 237-2647
Mailing address
47205 336TH ST, GAYLORD, MN 55334-2241
(507) 327-4064
(507) 237-2647
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
17672
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A327725700
UMPI
MN
Enumeration date
06/05/2008
Last updated
06/05/2008
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