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MR. JAMES CASEY KACHEL SLANGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA LP

Contact information

Practice address
1280 NORTH BIRCH LAKE BLVD, WHITE BEAR LAKE AREA COMMUNITY COUNSELING CENTER, WHITE BEAR LAKE, MN 55110-6708
(651) 429-8544
(651) 407-5301
Mailing address
1280 NORTH BIRCH LAKE BLVD, WHITE BEAR LAKE AREA COMMUNITY COUNSELING CENTER, WHITE BEAR LAKE, MN 55110-6708
(651) 429-8544
(651) 407-5301

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
MNLP#LP0885
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30137
BEHAVIORAL HEALTHCARE PRO
MN
01
38P56KA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
11/14/2006
Last updated
07/08/2007
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