Organization
INDIGO COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN D HAUSE LPCC (LICENSED COUNSELOR)
(612) 293-5128
Entity
Organization
Contact information
Practice address
2388 UNIVERSITY AVE W # 202, SAINT PAUL, MN 55114-1769
(612) 293-5124
(651) 300-2702
Mailing address
2388 UNIVERSITY AVE W # 202, SAINT PAUL, MN 55114-1769
(612) 293-5124
(651) 300-2702
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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