Organization
SHEEPDOG THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE ZLATE LPCC, LADC (OWNER)
(952) 994-4272
Entity
Organization
Contact information
Practice address
1902 5TH AVE STE 4, ANOKA, MN 55303-2692
(952) 994-4272
Mailing address
1902 5TH AVE STE 4, ANOKA, MN 55303-2692
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
11/09/2023
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