Congruency Psychotherapy Llc | |
9733 Kent Ave Montgomery MN 56069-4903 | |
(612) 227-9310 | |
Not Available |
Full Name | Congruency Psychotherapy Llc |
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Speciality | Social Worker |
Location | 9733 Kent Ave, Montgomery, Minnesota |
Authorized Official Name and Position | Kathryn R Langdon (OWNER/CLINICAL DIRECTOR) |
Authorized Official Contact | 5077444272 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Congruency Psychotherapy Llc 9733 Kent Ave Montgomery MN 56069-4903 Ph: (612) 227-9310 | Congruency Psychotherapy Llc 9733 Kent Ave Montgomery MN 56069-4903 Ph: (612) 227-9310 |
NPI Number | 1467800201 |
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Provider Enumeration Date | 06/02/2016 |
Last Update Date | 09/05/2019 |
Medicare PECOS PAC ID | 7618206111 |
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Medicare Enrollment ID | O20190909003057 |
Identifier | Type | State | Issuer |
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1467800201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 20331 (Minnesota) | Primary |
Provider Name | Kathryn R Langdon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265773527 PECOS PAC ID: 0143559641 Enrollment ID: I20190909003258 |
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