| NPI | 1962557496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALEE L ANDERSON Human Resources/Credentialing 507-931-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 11076) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 10695) |
| 103T00000X Psychologist (Licence: MN LP3791) | |
| 103T00000X Psychologist (Licence: MN LP4430) | |
| 106H00000X Marriage & Family Therapist (Licence: MN 1290) | |
| 106H00000X Marriage & Family Therapist (Licence: MN 1424) | |
| 106H00000X Marriage & Family Therapist (Licence: MN 1150) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2021-09-01 |