Organization
LIFESTYLE COUNSELING OF MOUND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SCHIEFFER (PROGRAM DIRECTOR)
(952) 472-3444
Entity
Organization
Contact information
Practice address
2389 BLAINE AVE., NAVARRE, MN 55392
(952) 472-3444
(763) 972-2479
Mailing address
PO BOX 11, NAVARRE, MN 55392-0011
(952) 472-3444
(763) 972-2459
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
807026
MN
Other
Enumeration date
01/19/2007
Last updated
08/22/2020
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