Organization
CLEAR HORIZONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISHONE AKI HUGHES-POLK CPRP, LPCC (DIRECTOR)
(651) 324-0536
Entity
Organization
Contact information
Practice address
1352 PHALEN BLVD, SAINT PAUL, MN 55106-2145
(651) 324-0536
Mailing address
1352 PHALEN BLVD, SAINT PAUL, MN 55106-2145
(651) 324-0536
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
00024
MN
251S00000X
Community/Behavioral Health Agency
174706
MN
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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