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Organization

CORE RESTORE COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STEPHANIE K ROSSING LMFT (CO-OWNER)
(763) 286-4257
Entity
Organization

Contact information

Practice address
12760 ABERDEEN ST NE STE 205, BLAINE, MN 55449-5847
(763) 286-4257
(763) 432-7424
Mailing address
12760 ABERDEEN ST NE STE 205, BLAINE, MN 55449-5847
(763) 286-4257
(763) 432-7424

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1185
MN

Other

Enumeration date
09/20/2009
Last updated
09/20/2009
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