| NPI | 1134665748 |
|---|---|
| Doing Business As | BRISTLECONE HEALTH |
| Entity Type | Organization |
| Authorized Contact | JULIE GOMER Co Owner, COO 763-913-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education (Licence: MN 01664) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MN 01666) |
| 101Y00000X Counselor (Licence: MN 01664) | |
| 101YM0800X Counselor, Mental Health (Licence: MN 01664) | |
| 101YM0800X Counselor, Mental Health (Licence: MN 01666) | |
| 101YP2500X Counselor, Professional (Licence: MN 01664) | |
| 101YP2500X Counselor, Professional (Licence: MN 01666) | |
| 103K00000X Behavior Analyst (Licence: MN 01664) | |
| 103K00000X Behavior Analyst (Licence: MN 01666) | |
| 133N00000X Nutritionist | |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: MN 01666) | |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |