Life Transformations | |
227 6th St N Breckenridge MN 56520-1503 | |
(701) 640-8915 | |
Not Available |
Full Name | Life Transformations |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 227 6th St N, Breckenridge, Minnesota |
Authorized Official Name and Position | Mata Peteson (OWNER/ADDICTION COUNSELOR) |
Authorized Official Contact | 7016408915 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Life Transformations Po Box 703 Fergus Falls MN 56538-0703 Ph: () - | Life Transformations 227 6th St N Breckenridge MN 56520-1503 Ph: (701) 640-8915 |
NPI Number | 1689186587 |
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Provider Enumeration Date | 10/31/2017 |
Last Update Date | 06/16/2018 |
Identifier | Type | State | Issuer |
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1689186587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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