Organization
LOS ROQUES
Active
Other names
Un Pueblito Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA MALDONADO LMFT (OWNER)
(612) 306-9636
Entity
Organization
Contact information
Practice address
2424 18TH AVE S, MINNEAPOLIS, MN 55404-4006
(612) 306-9636
Mailing address
2424 18TH AVE S, MINNEAPOLIS, MN 55404-4006
(612) 306-9636
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2518
MN
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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