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General NPI Number Information
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NPI Number | 1548182165
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Entity Type | Organization
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Legal Business Name | CRIVELLO CLINIC LLC
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 413 WACOUTA ST STE 240
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City | SAINT PAUL
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State | MN
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Zip | 55101-1650
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Country | US
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Telephone | 651-413-3618
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Fax | 651-317-7043
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Provider Business Mailing Address
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Address Line | 413 WACOUTA ST STE 240
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City | SAINT PAUL
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State | MN
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Zip | 55101-1650
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Country | US
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Telephone | 651-413-3618
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Fax | 651-317-7043
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | CHELSEA EDITH SCHRUNK CRIVELLO
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Credential | LICSW
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Telephone | 715-563-2469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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