Individual provider · Type 1 NPI

Collette C. Gboweh

Mental Health Counselor · Bloomington, MN

NPI number 1780153809 Active

Practice location

8200 Humboldt Ave S Ste 100
Bloomington, MN 55431-1433

Call (952) 236-7891 Map

Fax (952) 426-4935

Mailing address

1609 68th Ln N
Brooklyn Center, MN 55430-5800

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1780153809

Collette C. Gboweh's National Provider Identifier is 1780153809, issued on Nov 19, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, MN. The record was last updated on Nov 19, 2018.