Organization
NEW CONCEPT COUNSELING L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER ADESOJI FALADE DMFT LMFT (OWNER/THERAPIST)
(612) 599-6396
Entity
Organization
Contact information
Practice address
6043 HUDSON RD STE 399J, WOODBURY, MN 55125-1028
(612) 599-6396
(165) 156-0794
Mailing address
1240 DONEGAL DR, WOODBURY, MN 55125-2390
(612) 599-6396
(165) 156-0794
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2836
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932490224
NPI
MN
Enumeration date
08/26/2016
Last updated
10/07/2016
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