Organization
CAMBRIDGE COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KELLER LP (OWNER)
(763) 442-4111
Entity
Organization
Contact information
Practice address
121 ADAMS ST S, CAMBRIDGE, MN 55008-1620
(763) 442-4111
Mailing address
21221 FOXTAIL LN, ROGERS, MN 55374-6512
(763) 443-2096
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4821
MN
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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