Organization
AYD & CAVANAGH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE BATKIEWICZ (ADMINISTRATOR)
(612) 710-3671
Entity
Organization
Contact information
Practice address
9007 KAGAN AVE NE, MONTICELLO, MN 55362-4535
(612) 229-1234
(763) 295-4946
Mailing address
9007 KAGAN AVE NE, MONTICELLO, MN 55362-4535
(612) 229-1234
(763) 295-4946
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LP4403
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
633K0CA
BCBS OF MINNESOTA
MN
Enumeration date
03/12/2007
Last updated
08/22/2020
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