Northernwaters Counseling LLC

NPI #1912660259 in Crosby, Minnesota

Provider Information

NPI Number: 1912660259
Entity Type: Organization
Organization Name: Northernwaters Counseling LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 13, 2021
Last Updated: Oct 13, 2021

Practice Location

Address: 207 1ST ST NW
City: Crosby
State: Minnesota
ZIP Code: 56441-1301
Phone: (218) 296-0632

Authorized Official

Name: THERESA ODDEN
Title: OWNER
Phone: (218) 296-0632

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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