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Organization

COUNSELING & MEDIATION SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEBRA ANN NELSON MA, LMFT (COUNSELOR, MEDIATOR, CONSULTANT)
(651) 307-4993
Entity
Organization

Contact information

Practice address
20 LAKE ST N, SUITE 306, FOREST LAKE, MN 55025-2523
(651) 307-4993
Mailing address
20 LAKE ST N, SUITE 306, FOREST LAKE, MN 55025-2523
(651) 307-4993

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1740
MN
251S00000X
Community/Behavioral Health Agency
255
MN

Other

Enumeration date
11/20/2014
Last updated
11/20/2014
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