| Julie Humbert Msw Licsw Inc | |
|
1302 4th St S Cold Spring MN 56320-2336 | |
| (320) 250-2132 | |
| (320) 685-3076 |
| Full Name | Julie Humbert Msw Licsw Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1302 4th St S, Cold Spring, Minnesota |
| Authorized Official Name and Position | Julie Humbert (THERAPIST/OWNER) |
| Authorized Official Contact | 3202502132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Humbert Msw Licsw Inc 1302 4th St S Cold Spring MN 56320-2336 Ph: (320) 250-2132 | Julie Humbert Msw Licsw Inc 1302 4th St S Cold Spring MN 56320-2336 Ph: (320) 250-2132 |
| NPI Number | 1679987358 |
|---|---|
| Provider Enumeration Date | 06/20/2014 |
| Last Update Date | 06/20/2014 |
| Medicare PECOS PAC ID | 4587888011 |
|---|---|
| Medicare Enrollment ID | O20140624000632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679987358 | NPI | - | NPPES |
| 152466 | Other | MN | UCARE |
| 206991100 | Medicaid | MN | |
| 807683925 | Other | MN | MEDICA/OPTUM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 15465 (Minnesota) | Primary |
| Provider Name | Julie R Humbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528151073 PECOS PAC ID: 2567686009 Enrollment ID: I20140624000864 |
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