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Provider Information for 1346883501


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CHRISTINE LEE GARWICK-FOLEY LPC


Sex: Female

NPI: 1346883501
Last Updated: 2019-10-21
Certification Date:

Details

NameValue
NPI1346883501
Enumeration Date2019-10-21
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 10032 QUEBEC AVE S
BLOOMINGTON, MN 55438-2126
United States

Phone: 952-239-5649 | Fax:
 
Primary Practice Address 10032 QUEBEC AVE S
BLOOMINGTON, MN 55438-2126
United States

Phone: 952-239-5649 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101Y00000X - Counselor MN00101