Organization
TROY BORCHARDT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY BORCHARDT (LICENSED PROFESSIONAL CLINICAL COUN)
(763) 587-8567
Entity
Organization
Contact information
Practice address
2499 RICE ST, SUITE 201, SAINT PAUL, MN 55113-3724
(218) 252-9713
Mailing address
501 6TH AVE SW, ISANTI, MN 55040-7279
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
01028
MN
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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