| Organization Name: | OUTREACH COUNSELING & CONSULTING SERVICES, INC. |
| NPI Number: | 1295890192 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUZMILA AMUNDSON (PRESIDENT) |
| Mailing Address: | 3570 Lexington Ave N Suite 100 Shoreview |
| State: | MN US |
| Postal Code: | 551268049 |
| Phone Number: | 6514810664 |
| Fax Number: | 6514813907 |
| NPI Enumeration Date: | 12/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |