| Freedom Counseling Center | |
|
709 N Riverfront Dr Mankato MN 56001-3454 | |
| (507) 934-4160 | |
| (507) 934-4160 |
| Full Name | Freedom Counseling Center |
|---|---|
| Speciality | Psychologist |
| Location | 709 N Riverfront Dr, Mankato, Minnesota |
| Authorized Official Name and Position | David Loren Andros (OWNER PSYCHOLOGIST) |
| Authorized Official Contact | 5079344160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Counseling Center 326 Walnut St Saint Peter MN 56082-1442 Ph: (507) 934-4160 | Freedom Counseling Center 709 N Riverfront Dr Mankato MN 56001-3454 Ph: (507) 934-4160 |
| NPI Number | 1467964031 |
|---|---|
| Provider Enumeration Date | 11/03/2017 |
| Last Update Date | 05/17/2024 |
| Certification Date | 05/17/2024 |
| Medicare PECOS PAC ID | 2466892773 |
|---|---|
| Medicare Enrollment ID | O20240503001983 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467964031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP3107 (Minnesota) | Primary |
| Provider Name | David Loren Andros |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1386717700 PECOS PAC ID: 5890038699 Enrollment ID: I20240304000139 |
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