Whalio Doctors

NPI 1134665748

Bristlecone to Go, INC.

Organisation Nutrition Education Nutritionist Maple Grove, MN

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
Dietary & Nutritional Service Providers Taxonomy 133NN1002X Licence 01664 (MN)
Counselor
Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence 01666 (MN)
Counselor
Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence 01664 (MN)
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 01664 (MN)
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 01666 (MN)
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 01664 (MN)
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 01666 (MN)
Behavior Analyst
Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 01664 (MN)
Behavior Analyst
Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 01666 (MN)
Nutritionist
Dietary & Nutritional Service Providers Taxonomy 133N00000X
Nutrition Education Nutritionist
Dietary & Nutritional Service Providers Taxonomy 133NN1002X Licence 01666 (MN)

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.