| Imagine Nation Llc | |
|
3333 W Division St Ste 100 Saint Cloud MN 56301-4555 | |
| (320) 266-8082 | |
| Not Available |
| Full Name | Imagine Nation Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3333 W Division St Ste 100, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Marc Van Herr (OWNER) |
| Authorized Official Contact | 3202668082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Nation Llc 417 5th Ave N Sartell MN 56377-1653 Ph: (320) 266-8082 | Imagine Nation Llc 3333 W Division St Ste 100 Saint Cloud MN 56301-4555 Ph: (320) 266-8082 |
| NPI Number | 1992456073 |
|---|---|
| Provider Enumeration Date | 01/11/2022 |
| Last Update Date | 01/11/2022 |
| Certification Date | 01/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992456073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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