Organization
SHALOM COUNSELING & CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE DIANE LOEWEN MSW, LICSW (MANAGER)
(507) 841-0728
Entity
Organization
Contact information
Practice address
204 2ND ST, JACKSON, MN 56143-1638
(507) 841-0728
(507) 847-4750
Mailing address
204 2ND ST, P.O. BOX 223, JACKSON, MN 56143-1638
(507) 841-0728
(507) 847-4750
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
14441
MN
Other
Enumeration date
11/06/2010
Last updated
11/06/2010
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