Organization
NOVA NORTH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEY JERNBERG PESCHGES (OWNER)
(952) 334-4457
Entity
Organization
Contact information
Practice address
821 MEANDER CT, MEDINA, MN 55340-4549
(952) 334-4457
Mailing address
2811 113TH AVE NW, COON RAPIDS, MN 55433-3402
(952) 334-4457
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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