Organization
COLLABORATIVE RESTORATION COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA JANELLE MCDERMOTT LMFT (FOUNDER/OWNDER)
(612) 275-3517
Entity
Organization
Contact information
Practice address
15252 W FREEWAY DR NE, SUITE 1, FOREST LAKE, MN 55025-8120
(612) 275-3517
Mailing address
7500 CAHILL RD, 216C, EDINA, MN 55439-2734
(612) 275-3517
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2619
MN
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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