Organization
MESABACARE LLC
Active
Other names
MesabaCare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD SAMUEL SCOTT PH.D., LPCC (OWNER/COUNSELOR)
(218) 290-7301
Entity
Organization
Contact information
Practice address
405 W 3RD AVE N, AURORA, MN 55705-1247
(218) 290-7301
Mailing address
315 BRANDON RD, HOYT LAKES, MN 55750-1203
(218) 290-7301
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
06/11/2019
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