Anoka County Juvenile Center

NPI #1417154220 in Lino Lakes, Minnesota

Provider Information

NPI Number: 1417154220
Entity Type: Organization
Organization Name: Anoka County Juvenile Center
Primary Specialty: Counselor
Enumeration Date: Jun 27, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 7555 4TH AVE
City: Lino Lakes
State: Minnesota
ZIP Code: 55014-1068
Phone: (651) 783-7502

Authorized Official

Name: MS. SUSAN MELINDA MOSER
Title: ADMINISTRATIVE SUPERVISOR
Phone: (651) 783-7502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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