Provider Demographics
NPI:1598165052
Name:TRUE NORTH COUNSELING AND CONSULTING
Entity Type:Organization
Organization Name:TRUE NORTH COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:GATTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-839-9421
Mailing Address - Street 1:13432 ELMWOOD DR STE 209
Mailing Address - Street 2:
Mailing Address - City:BAXTER
Mailing Address - State:MN
Mailing Address - Zip Code:56425-8538
Mailing Address - Country:US
Mailing Address - Phone:218-839-9421
Mailing Address - Fax:
Practice Address - Street 1:13432 ELMWOOD DR STE 209
Practice Address - Street 2:
Practice Address - City:BAXTER
Practice Address - State:MN
Practice Address - Zip Code:56425-8538
Practice Address - Country:US
Practice Address - Phone:218-839-9421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-02
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN451261Q00000X
MN24261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1447268891Medicaid
MN1548286636Medicaid