| Individual And Family Services, Inc. | |
|
111 E Clark St Ste 201 Albert Lea MN 56007-4580 | |
| (507) 377-2224 | |
| (507) 377-2224 |
| Full Name | Individual And Family Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 111 E Clark St Ste 201, Albert Lea, Minnesota |
| Authorized Official Name and Position | Edith Marie Haenel (THERAPIST/PRESIDENT) |
| Authorized Official Contact | 5073772224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Individual And Family Services, Inc. 111 E Clark St Ste 201 Albert Lea MN 56007-4580 Ph: (507) 377-2224 | Individual And Family Services, Inc. 111 E Clark St Ste 201 Albert Lea MN 56007-4580 Ph: (507) 377-2224 |
| NPI Number | 1295999746 |
|---|---|
| Provider Enumeration Date | 07/14/2008 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295999746 | NPI | - | NPPES |
| 011357300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 06629 (Minnesota) | Primary |
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