Organization
HUMANIST PSYCHOTHERAPY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE DIETERLEN SEGAL (OFFICE MANAGER / VICE PRESIDENT)
(651) 278-4003
Entity
Organization
Contact information
Practice address
2245 ST CLAIR AV, ST PAUL, MN 55105-1153
(651) 278-4003
Mailing address
2245 ST CLAIR AV, ST PAUL, MN 55105-1153
(651) 278-4003
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
—
07536HU
BLUE CROSS BLUE SHIELD MN
MN
Enumeration date
09/05/2007
Last updated
05/07/2024
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