Organization
NORTHERN EDGE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN DECORSEY MSW LICSW (PSYCHOTHERAPIST)
(218) 206-6676
Entity
Organization
Contact information
Practice address
394 S LAKE AVE STE 515, DULUTH, MN 55802-2325
(218) 206-6676
Mailing address
394 S LAKE AVE STE 515, DULUTH, MN 55802-2325
(218) 206-6676
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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