Organization
HEALING WATERS RECOVERY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW JAMES ZAMASTIL LMFT (OWNER)
(952) 393-1987
Entity
Organization
Contact information
Practice address
6954 W 84TH ST, BLOOMINGTON, MN 55438-1159
(952) 393-1987
Mailing address
6954 W 84TH ST, BLOOMINGTON, MN 55438-1159
(952) 393-1987
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2007
MN
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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