Organization
PARACLETE PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCUS K KILIAN PSYD (PRESIDENT/ CHIEF MANAGER)
(715) 864-2417
Entity
Organization
Contact information
Practice address
1030 COUNTY ROAD E W, SUITE 260, SHOREVIEW, MN 55126-8152
(715) 864-2417
(651) 528-8705
Mailing address
1030 COUNTY ROAD E W, SUITE 260, SHOREVIEW, MN 55126-8152
(715) 864-2417
(651) 528-8705
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LP5005
MN
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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