Organization
THE COUNSELING CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE MATHISEN MSW, LICSW (OWNER/DIRECTOR)
(763) 560-4860
Entity
Organization
Contact information
Practice address
6860 SHINGLE CREEK PKWY, SUITE 116, BROOKLYN CENTER, MN 55430-1411
(763) 560-4860
Mailing address
6860 SHINGLE CREEK PKWY, SUITE 116, BROOKLYN CENTER, MN 55430-1411
(763) 560-4860
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/19/2006
Last updated
08/22/2020
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