Organization
LIFEQUEST THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEKAH SALITERMAN LICSW (OWNER)
(651) 263-0004
Entity
Organization
Contact information
Practice address
2233 HAMLINE AVE N, #609, ROSEVILLE, MN 55113-5009
(651) 263-0004
Mailing address
2233 HAMLINE AVE N, #609, ROSEVILLE, MN 55113-5009
(651) 263-0004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15886
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136419
U-CARE
MN
01
—
431G2LI
BCBS
MN
01
—
HP53204
HEALTHPARTNERS
MN
Enumeration date
01/03/2008
Last updated
01/03/2008
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