MEDICARE: TWIN CITIES COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1033876636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TWIN CITIES COUNSELING

Provider Business Mailing Address
First Line	:	4220 31ST AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-3312
Country	:	US
Telephone Number	:	651-208-2767
Fax Number	:

Provider Business Practice Location Address
First Line	:	4220 31ST AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-3312
Country	:	US
Telephone Number	:	651-208-2767
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NICHOLAS ROSS
Credential	:
Telephone Number	:	651-208-2767

Provider Enumeration Date	:	11/18/2021
Last Update Date	:	11/18/2021

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Directions to “TWIN CITIES COUNSELING ” Practice Location

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