CLEAR PASSAGE COUNSELING NPI 1609152198

NPI Information

CLEAR PASSAGE COUNSELING is a mental health counselor in Fridley, MN. CLEAR PASSAGE COUNSELING NPI is 1609152198. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7671 OLD CENTRAL AVE NE
SUITE 202
FRIDLEY, MN
ZIP 55432-575
Phone: (763) 786-8067
Fax: (763) 786-5080

The provider's authorized official is William Leonard Hicks .
The authorized official title is Owner and has the following contact phone number (763) 786-8067.

The enumeration date for this NPI number is 10/27/2011 and was last updated on 11/18/2013.

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:

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