Organization
CUMMINS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRA CUMMINS MSW, LICSW, PMH-C (OWNER)
(612) 440-1482
Entity
Organization
Contact information
Practice address
1529 SHERWOOD WAY, EAGAN, MN 55122-2732
(612) 440-1482
Mailing address
1529 SHERWOOD WAY, EAGAN, MN 55122-2732
(612) 440-1482
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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