Organization
KARISSA JOY GODEL, MS, LPCC, LADC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD BAUMCHEN PSYD. LP (EXECUTIVE DIRECTOR)
(952) 974-3999
Entity
Organization
Contact information
Practice address
7945 STONE CREEK DR, STE 140, CHANHASSEN, MN 55317-4605
(952) 974-3999
(952) 974-3780
Mailing address
7945 STONE CREEK DR, STE 140, CHANHASSEN, MN 55317-4605
(952) 974-3999
(952) 974-3780
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
304064
MN
251S00000X
Community/Behavioral Health Agency
Primary
951
MN
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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