NPI 1134665748
Bristlecone to Go, INC.
Practice location
- Address
- 13700 Reimer Dr N Suite 220, Maple Grove, MN 55311-4580
- Phone
- (763) 424-2474
- Fax
- (763) 424-2711
Authorised official
- Name
- Julie Gomer
- Title
- Co-Owner, Coo
- Phone
- (763) 913-4600
Registered specialties (11)
Nutrition Education Nutritionist
Primary
Counselor
Counselor
Mental Health Counselor
Mental Health Counselor
Professional Counselor
Professional Counselor
Behavior Analyst
Behavior Analyst
Nutritionist
Nutrition Education Nutritionist
Registry record
- NPI
- 1134665748
- Entity type
- Organization
- NPI issued
- 6 Jan 2017
- Record last updated
- 6 Jan 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.