Organization
FISHBONE LLC
Active
Other names
New Leaf Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA VEECH LPCC (OWNER)
(763) 220-2213
Entity
Organization
Contact information
Practice address
4700 LEXINGTON AVE N, SUITE C, SHOREVIEW, MN 55126-5867
(763) 220-2213
Mailing address
6975 MEADOW CT, CENTERVILLE, MN 55038-8784
(763) 220-2213
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C00880
MN
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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