Organization
NORTHERNWATERS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA ODDEN (OWNER)
(218) 296-0632
Entity
Organization
Contact information
Practice address
207 1ST ST NW, CROSBY, MN 56441-1301
(218) 296-0632
Mailing address
207 1ST ST NW, CROSBY, MN 56441-1301
(218) 296-0632
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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