Congdon, Alice I
Congdon, Alice I is an individual health care provider with primary practice located at 3833 Coon Rapids Blvd Nw Suite 120, Coon Rapids MN 55433-2643. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Congdon, Alice I can be contacted via phone (763) 767-3350.Contact Information
Primary practice address
3833 Coon Rapids Blvd Nw Suite 120
Coon Rapids MN 55433-2643
Phone: (763) 767-3350
Fax: (763) 767-0912
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 00957 | Minnesota |
Behavioral Health & Social Service Providers / School | 101YS0200X | 463353 | Minnesota |
Profile Details
NPI number | 1396102364 |
---|---|
LBN Legal business name | Congdon, Alice I |
Credentials | L.P.C.C. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 21st, 2016 |
Last updated | Apr 19th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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