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Organization

320 COUNSELING , LLC

Active
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Organization

320 COUNSELING , LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELINDA ROSE TERHAAR LICSW (OWNER)
(507) 202-4631
Entity
Organization

Contact information

Practice address
600 25TH AVE S STE 109, SAINT CLOUD, MN 56301-4820
(507) 202-4631
Mailing address
5575 LOGANBERRY CIR, RICE, MN 56367-4569
(507) 202-4631

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1932601614
MN
Enumeration date
08/16/2019
Last updated
08/16/2019
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