Organization
YAEKEL-BLACK ELK COUNSELING & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE KAY YAEKEL-BLACK ELK PHD (COUNSELOR/CONSULTANT)
(218) 590-1932
Entity
Organization
Contact information
Practice address
49659 STATE LINE RD, SANDSTONE, MN 55072-3032
(218) 590-1932
Mailing address
49659 STATE LINE RD, SANDSTONE, MN 55072-3032
(218) 590-1932
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
3776-125
WI
251S00000X
Community/Behavioral Health Agency
Primary
CC00588
MN
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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