Vandergon, Constance Jo
Vandergon, Constance Jo is an individual health care provider with primary practice located at 1930 Coon Rapids Blvd Nw , Coon Rapids MN 55433-4708. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Vandergon, Constance Jo can be contacted via phone (763) 427-7964.Contact Information
Primary practice address
1930 Coon Rapids Blvd Nw
Coon Rapids MN 55433-4708
Phone: (763) 427-7964
Fax: (763) 427-7976
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | LP2496 | Minnesota |
Profile Details
| NPI number | 1265522213 |
|---|---|
| LBN Legal business name | Vandergon, Constance Jo |
| Credentials | M.S., L.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Oct 24th, 2018 - 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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