Organization
NORTH SHORE COMMUNITY COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN MATTHEW HATFIELD MSW, LGSW, LADC (CHIEF EXECUTIVE OFFICER)
(218) 461-2903
Entity
Organization
Contact information
Practice address
4915 E SUPERIOR ST, SUITE 202, DULUTH, MN 55804-2452
(218) 461-2903
Mailing address
4915 E SUPERIOR ST, SUITE 202, DULUTH, MN 55804-2452
(218) 461-2903
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MN
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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