Mankato Marriage And Family Therapy Center Plc | |
1207 Caledonia Street Mankato MN 56001 | |
(507) 625-4884 | |
(507) 625-6311 |
Full Name | Mankato Marriage And Family Therapy Center Plc |
---|---|
Speciality | Counselor - Mental Health |
Location | 1207 Caledonia Street, Mankato, Minnesota |
Authorized Official Name and Position | John E. Rapking (OWNER/CLINICAL DIRECTOR) |
Authorized Official Contact | 5076254884 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mankato Marriage And Family Therapy Center Plc 1207 Caledonia Street Mankato MN 56001 Ph: (507) 625-4884 | Mankato Marriage And Family Therapy Center Plc 1207 Caledonia Street Mankato MN 56001 Ph: (507) 625-4884 |
NPI Number | 1689990665 |
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Provider Enumeration Date | 04/15/2010 |
Last Update Date | 05/20/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689990665 | NPI | - | NPPES |
206968700 | Medicaid | MN | |
1669456885 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | 965 (Minnesota) | Secondary |
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