| Charles Kaltenberg L.l.c. | |
|
7200 Hudson Blvd N Ste 107c Oakdale MN 55128-6301 | |
| (612) 584-9071 | |
| Not Available |
| Full Name | Charles Kaltenberg L.l.c. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7200 Hudson Blvd N Ste 107c, Oakdale, Minnesota |
| Authorized Official Name and Position | Charles Kaltenberg (PSYCHOTHERAPIST) |
| Authorized Official Contact | 6125849071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Kaltenberg L.l.c. 7200 Hudson Blvd N Ste 107c Oakdale MN 55128-6301 Ph: (612) 584-9071 | Charles Kaltenberg L.l.c. 7200 Hudson Blvd N Ste 107c Oakdale MN 55128-6301 Ph: (612) 584-9071 |
| NPI Number | 1164067633 |
|---|---|
| Provider Enumeration Date | 11/08/2019 |
| Last Update Date | 09/16/2020 |
| Certification Date | 09/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164067633 | NPI | - | NPPES |
| 1205352606 | Other | MN | NPI 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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