Individual provider · Type 1 NPI

Alice I. Congdon, L.P.C.C.

Professional Counselor · Coon Rapids, MN

NPI number 1396102364 Active

Practice location

3833 Coon Rapids Blvd NW, Suite 120
Coon Rapids, MN 55433-2643

Call (763) 767-3350 Map

Fax (763) 767-0912

Mailing address

1900 Silver Lake Road NW, Suite 110
New Brighton, MN 55112

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X00957 (MN)
School Counselor 101YS0200X463353 (MN)

Professional Counselor: Definition to come...

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About NPI 1396102364

Alice I. Congdon, L.P.C.C.'s National Provider Identifier is 1396102364, issued on Jan 21, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Coon Rapids, MN. The record was last updated on Apr 19, 2016.