Organization
MIDWAY COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZAD QORANE (PRESIDENT)
(612) 481-9981
Entity
Organization
Contact information
Practice address
1410 9TH AVE S APT 306, SAINT CLOUD, MN 56301-5787
(612) 481-9981
(320) 416-3060
Mailing address
1410 9TH AVE S APT 306, SAINT CLOUD, MN 56301-5787
(612) 481-9981
(320) 416-3060
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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