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Organization

NEW GUIDANCE COUNSELING CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY BURKETT (OFFICE MANAGER)
(763) 494-4404
Entity
Organization

Contact information

Practice address
8557 WYOMING AVE NORTH, BROOKLYN CENTER, MN 55445
(763) 449-4404
(763) 494-5503
Mailing address
8557 WYOMING AVE NORTH, BROOKLYN CENTER, MN 55445
(763) 449-4404
(763) 494-5503

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1017289-3-CDT
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0H32NE
BCBS
MN
01
172645
UCARE
MN
01
8462994
MEDICA
MN
01
8462995
MEDICA
MN
01
8462996
MEDICA
MN
01
8462997
MEDICA
MN
01
98112
HEALTH PARTNERS
MN
Enumeration date
05/02/2007
Last updated
08/22/2020
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