| Organization Name: | ASSOCIATED COUNSELING SERVICES, PLLC |
| NPI Number: | 1093859332 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GAIL ROSE MAUDAL (PRESIDENT) |
| Mailing Address: | 2625 Edgerton St Little Canada |
| State: | MN US |
| Postal Code: | 551171620 |
| Phone Number: | 6514841544 |
| Fax Number: | 6514151337 |
| NPI Enumeration Date: | 02/19/2007 |
| NPI Last Update Date: | 02/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0200X |
| License Number: | LP1096 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Forensic |
| Taxonomy Definition: | |