Organization
COMMUNITY TREE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA MARIE MITCHELL (THERAPIST)
(612) 554-6069
Entity
Organization
Contact information
Practice address
1500 MCANDREWS RD W STE 222, BURNSVILLE, MN 55337-4445
(612) 554-6069
Mailing address
13408 ALDRICH AVE S, BURNSVILLE, MN 55337-4388
(612) 554-6069
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1709
MN
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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