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Organization

FOUNDATIONS OF WELLNESS, COUNSELING L.L.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTA NICOLE NEWMAN MA, LPCC (PRESIDENT, PSYCHOTHERAPIST)
(612) 564-5205
Entity
Organization

Contact information

Practice address
232 CENTRAL AVE, OSSEO, MN 55369-1245
(612) 564-5205
Mailing address
12305 JONQUIL ST NW, COON RAPIDS, MN 55433-1780
(612) 618-2064

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CC00954
MN

Other

Enumeration date
07/18/2015
Last updated
07/18/2015
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