Doctors Park Mental Health Center, Pa | |
103 Doctors Park Saint Cloud MN 56303-1207 | |
(320) 316-0300 | |
Not Available |
Full Name | Doctors Park Mental Health Center, Pa |
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Speciality | Marriage & Family Therapist |
Location | 103 Doctors Park, Saint Cloud, Minnesota |
Authorized Official Name and Position | Becky Gayle Coulter (SUPERVISOR) |
Authorized Official Contact | 3203160300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Doctors Park Mental Health Center, Pa 103 Doctors Park Saint Cloud MN 56303-1207 Ph: (320) 316-0300 | Doctors Park Mental Health Center, Pa 103 Doctors Park Saint Cloud MN 56303-1207 Ph: (320) 316-0300 |
NPI Number | 1295121648 |
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Provider Enumeration Date | 04/13/2015 |
Last Update Date | 04/13/2015 |
Identifier | Type | State | Issuer |
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1295121648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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106H00000X | Marriage & Family Therapist | 1503 (Minnesota) | Primary |
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