Unknown Individual – Professional Counselor, NPI 1447341102
Professional Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1891, Fairmount Avenue, Macalester - Groveland, Saint Paul, Ramsey County, Minnesota, 55105, United States
SAINT PAUL, MN 551051539
Phone: (612) 870-1779
Type: Mailing
2400, Blaisdell Avenue South, Whittier, Minneapolis, Hennepin County, Minnesota, 55409, United States
MINNEAPOLIS, MN 554043331
Phone: (612) 870-1779
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55105)
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