Provider First Line Business Practice Location Address:
111 MARKET STREET
Provider Second Line Business Practice Location Address:
SUITE 4A COUNSELING ASSOCIATES, LLC
Provider Business Practice Location Address City Name:
WINONA
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55987-5901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
507-452-5033
Provider Business Practice Location Address Fax Number:
507-452-5183
Provider Enumeration Date:
07/16/2008