NPI 1285074039

Bethany Christian Services of Minnesota

Organisation Professional Counselor Plymouth, MN

Practice location

Address: 3131 Fernbrook Ln N STE 204, Plymouth, MN 55447-5337
Phone: (763) 553-0344
Fax: (763) 553-0117

Authorised official

Name: Gloria Peterson
Title: Clinician
Phone: (763) 553-0344

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 00747 (MN)

Other Counselor providers in Minnesota →

Registry record

NPI: 1285074039
Entity type: Organization
NPI issued: 26 Jun 2013
Record last updated: 31 Mar 2020

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.