Path Of Life Counseling | |
2042 Wooddale Dr Ste 250 Woodbury MN 55125-4421 | |
(651) 212-7111 | |
Not Available |
Full Name | Path Of Life Counseling |
---|---|
Speciality | Counselor - Mental Health |
Location | 2042 Wooddale Dr Ste 250, Woodbury, Minnesota |
Authorized Official Name and Position | Chong Chang (OWNER/PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 6513003328 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Path Of Life Counseling 2042 Wooddale Dr Ste 250 Woodbury MN 55125-4421 Ph: (651) 300-3328 | Path Of Life Counseling 2042 Wooddale Dr Ste 250 Woodbury MN 55125-4421 Ph: (651) 212-7111 |
NPI Number | 1093390478 |
---|---|
Provider Enumeration Date | 03/16/2021 |
Last Update Date | 03/16/2021 |
Certification Date | 03/16/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093390478 | NPI | - | NPPES |
981932200 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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