Organization
INDIGENOUS CIRCLES COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELIX RAYMOND MONTEZ LPCC, LADC (CEO)
(612) 910-7194
Entity
Organization
Contact information
Practice address
12000 ELM CREEK BLVD N STE L70, MAPLE GROVE, MN 55369-7167
(612) 910-7194
Mailing address
PO BOX 18655, MINNEAPOLIS, MN 55418-0655
(612) 910-7194
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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