Organization
NEW AWAKENINGS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY LYNN TWEEDT LPC (LPC/LADC)
(507) 407-2177
Entity
Organization
Contact information
Practice address
1119 GRANT ST, JACKSON, MN 56143-1207
(507) 407-2177
Mailing address
1119 GRANT ST, JACKSON, MN 56143-1207
(507) 407-2177
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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