Organization
BOTH SIDES OF THE RIVER COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA LARGAESPADA LICSW (PRINCIPAL)
(612) 423-8231
Entity
Organization
Contact information
Practice address
557 7TH ST W STE 204, SAINT PAUL, MN 55102-3065
(651) 964-0962
Mailing address
557 7TH ST W STE 204, SAINT PAUL, MN 55102-3065
(651) 964-0962
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4430
MN
106H00000X
Marriage & Family Therapist
2027
MN
Other
Enumeration date
11/01/2017
Last updated
03/17/2018
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