Organization
CLEAR PASSAGE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM LEONARD HICKS LMFT (OWNER)
(763) 786-8067
Entity
Organization
Contact information
Practice address
7671 OLD CENTRAL AVE NE, SUITE 202, FRIDLEY, MN 55432-3575
(763) 786-8067
(763) 786-5080
Mailing address
7671 OLD CENTRAL AVE NE, SUITE 208, FRIDLEY, MN 55432-3575
(763) 786-8067
(763) 786-5080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MN
Other
Enumeration date
10/27/2011
Last updated
11/18/2013
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