Organization
COSCARELLI CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA RAE COSCARELLI PHD (DIRECTOR)
(507) 951-9980
Entity
Organization
Contact information
Practice address
1687 WOODLANE DR STE 2002, WOODBURY, MN 55125-3063
(507) 951-9980
Mailing address
9437 DUNES LN, COTTAGE GROVE, MN 55016-4681
(507) 951-9980
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598134645
—
MN
Enumeration date
04/04/2019
Last updated
04/04/2019
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