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Organization

CROSSWINDS COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY HERTLE LICSW (OWNER)
(651) 890-6031
Entity
Organization

Contact information

Practice address
1895 E CO RD E, WHITE BEAR LAKE, MN 55110
(651) 890-6031
Mailing address
1895 E CO RD E, WHITE BEAR LAKE, MN 55110
(651) 890-6031

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14904
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
800002130
PTAN
MN
Enumeration date
03/11/2010
Last updated
03/11/2010
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