Individual provider · Type 1 NPI
Cheryl Kack
Mental Health Counselor · Shakopee, MN
NPI number
1184049173
Active
Practice location
8170 Old Carriage Court North, Suite 200
Shakopee, MN 55379-3169
Fax (952) 465-3901
Mailing address
800 E Orchard St
Belle Plaine, MN 56011-2182
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 16742 (MN) |
Mental Health Counselor: Definition to come...
2 other providers at this address
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- Aden Mohamud FitharMental Health Counselor Shakopee, MN NPI 1255207742
- Sarah E. Bordeleau, LPCCMental Health Counselor Shakopee, MN NPI 1528733896
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About NPI 1184049173
Cheryl Kack's National Provider Identifier is 1184049173, issued on Feb 27, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shakopee, MN. The record was last updated on Aug 29, 2014.