Individual
MR. TITO OCA CATUNCAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
7601 145TH ST W, APPLE VALLEY, MN 55124-5511
(612) 497-1992
Mailing address
7401 METRO BLVD STE 250, EDINA, MN 55439-3062
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
24719
MN
1041C0700X
Clinical Social Worker
24719
MN
Other
Enumeration date
03/21/2022
Last updated
10/03/2024
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