Provider Demographics
NPI:1841590767
Name:ONE T COUNSELING, CONSULTATION, TRAINING, PUBLISHING & PRODUCTIONS
Entity Type:Organization
Organization Name:ONE T COUNSELING, CONSULTATION, TRAINING, PUBLISHING & PRODUCTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:MATHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:651-528-9410
Mailing Address - Street 1:2854 HIGHWAY 55
Mailing Address - Street 2:SUITE 130
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-1776
Mailing Address - Country:US
Mailing Address - Phone:651-842-3327
Mailing Address - Fax:
Practice Address - Street 1:2854 HIGHWAY 55
Practice Address - Street 2:SUITE 130
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55121-1776
Practice Address - Country:US
Practice Address - Phone:651-842-3327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1470340101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty