Individual
COLLETTE C GBOWEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8200 HUMBOLDT AVE S STE 100, BLOOMINGTON, MN 55431-1433
(952) 236-7891
(952) 426-4935
Mailing address
1609 68TH LN N, BROOKLYN CENTER, MN 55430-5800
(612) 532-3035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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