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29351 Main Street Chisago City MN 55013 | |
| (651) 424-0152 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 29351 Main Street, Chisago City, Minnesota |
| Authorized Official Name and Position | Kamila Malgorzata Robinson (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 6514240152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
27520 Mickelson Ln Chisago City MN 55013-9735 Ph: (651) 424-0152 | 29351 Main Street Chisago City MN 55013 Ph: (651) 424-0152 |
| NPI Number | 1932874641 |
|---|---|
| Provider Enumeration Date | 08/13/2021 |
| Last Update Date | 12/18/2024 |
| Certification Date | 12/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932874641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Acres For Life Therapy & Wellness Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11720 256th St, Chisago City, MN 55013 Phone: 651-257-4159 | |
Minerva Center For Psychology Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11185 Lake Blvd Ste 205, Chisago City, MN 55013 Phone: 612-865-9150 | |
Family Based Therapy Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11549 Lake Ln, Suite 2, Chisago City, MN 55013 Phone: 651-257-2733 Fax: 651-257-2783 |