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ANOKA COUNTY JUVENILE CENTER NPI 1417154220


NPI Information

NPI: 1417154220
Provider Name: ANOKA COUNTY JUVENILE CENTER

Other Name: ANOKA COUNTY NON-SECURE

Classification: Counselor - 101Y00000X
Entity Type: Organization

CLIA Number: 24D2274336

Address:
7555 4TH AVE
LINO LAKES, MN
ZIP 55014
Phone: (651) 783-7502
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ANOKA COUNTY JUVENILE CENTER is a counselor in Lino Lakes, MN. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. ANOKA COUNTY JUVENILE CENTER NPI is 1417154220. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Anoka County Non-secure.

The provider's business location address is:

7555 4TH AVE
LINO LAKES, MN
ZIP 55014-068
Phone: (651) 783-7502
Fax: (651) 783-8160

The provider's authorized official is Susan Melinda Moser .
The authorized official title is Administrative Supervisor and has the following contact phone number (651) 783-7502.

The CLIA number assigned to this NPI record is 24D2274336 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor1036841-1-CRFMINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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