Organization
NORTHSTAR WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH GLIDDON LMFT (OWNER)
(612) 990-2383
Entity
Organization
Contact information
Practice address
4758 PARK DR, MONTICELLO, MN 55362-8577
(612) 990-2383
Mailing address
4758 PARK DR, MONTICELLO, MN 55362-8577
(612) 990-2383
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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