Organization
EAST CENTRAL COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY GARNAAS LIC SW (OWNER)
(651) 674-8822
Entity
Organization
Contact information
Practice address
38625 14TH AVE, SUITE#D, NORTH BRANCH, MN 55056-6682
(651) 674-8822
(651) 277-8822
Mailing address
PO BOX 502, NORTH BRANCH, MN 55056-0502
(651) 674-8822
(651) 277-8822
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6G186EA
BCBS
MN
Enumeration date
05/23/2007
Last updated
08/22/2020
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