Organization
COUNSELING AND PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSAIRE P DAIGLE PH.D. (OWNER)
(651) 503-0695
Entity
Organization
Contact information
Practice address
2233 HAMLINE AVE N STE 500, ROSEVILLE, MN 55113-5003
(651) 503-1069
(651) 502-2179
Mailing address
2233 HAMLINE AVE N STE 500, ROSEVILLE, MN 55113-5003
(651) 503-0695
(651) 502-2179
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LP6226
MN
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376995936
—
MN
Enumeration date
07/15/2018
Last updated
01/09/2021
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