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Organization

MONARCH COUNSELING COLLABORATIVE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENAE REANNE KUENZEL PSYD, LP, RD, LD (LICENSED PSYCHOLOGIST)
(763) 445-9758
Entity
Organization

Contact information

Practice address
21308 JOHN MILLESS DR STE 206, ROGERS, MN 55374-4870
(763) 445-9758
Mailing address
21308 JOHN MILLESS DR STE 206, ROGERS, MN 55374-4870
(763) 445-9758

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033446331
MN
Enumeration date
07/08/2024
Last updated
08/26/2024
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