Organization
CEDAR FOREST CHRISTIAN COUNSELING CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA QUINTELA-SMITH M.A., L.P. (LICENSED PSYCHOLOGIST)
(612) 240-4203
Entity
Organization
Contact information
Practice address
5100 EDINA INDUSTRIAL BLVD, SUITE#231C, EDINA, MN 55439-3000
(612) 240-4203
Mailing address
5100 EDINA INDUSTRIAL BLVD, SUITE#231C, EDINA, MN 55439-3000
(612) 240-4203
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3746
MN
Other
Enumeration date
10/02/2010
Last updated
10/02/2010
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