Organization
LAURA JEANNE NIEWALD
Active
Other names
Clear Day Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA JEANNE NIEWALD MA, LMFT (OWNER)
(612) 929-1500
Entity
Organization
Contact information
Practice address
4317 UPTON AVE S, SUITE C, MINNEAPOLIS, MN 55410-1539
(612) 929-1500
(612) 929-1500
Mailing address
4317 UPTON AVE S, SUITE C, MINNEAPOLIS, MN 55410-1539
(612) 929-1500
(612) 929-1500
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1216
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
478932600
MN HEALTH CARE PROGRAMS
MN
01
—
80G24CL
BCBS OF MN CLINIC #
MN
01
—
80G34NI
BCBS OF MN INDIVID. #
MN
Enumeration date
12/12/2006
Last updated
06/16/2008
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