NPI 1295260412

Kaleidoscope Counseling

Organisation Point of Service Saint Louis Park, MN

Practice location

Address: 5871 Cedar Lake Rd S Suite 210, Saint Louis Park, MN 55416-1472
Phone: (612) 220-1642
Mailing address: 3329 Colfax Ave S, Minneapolis, MN 55408-3508

Authorised official

Name: Michelle Suarez
Title: Child Dev. Consultant and Lamft
Phone: (612) 220-1642

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 3352 (MN)

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Registry record

NPI: 1295260412
Entity type: Organization
NPI issued: 25 Apr 2017
Record last updated: 25 Apr 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.