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NPI Code Detail

MEDICARE: MS. MONICA MARGARET AUSTERLITZ M.A.,, L.P.C.C.

MEDICARE:  MS. MONICA MARGARET AUSTERLITZ  M.A.,, L.P.C.C.
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
1101YM0800XMental Health CounselorCC00346MN

General Provider Information

NPI Number : 1922388545
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MONICA MARGARET AUSTERLITZ M.A.,, L.P.C.C.
Provider Business Mailing Address
First Line : 2737 39TH AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55406-1847
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2737 39TH AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55406-1847
Country : US
Telephone Number : 612-232-2514
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2011
Last Update Date : 08/26/2011

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Directions to “ MS. MONICA MARGARET AUSTERLITZ M.A.,, L.P.C.C.” Practice Location

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