| Memengwaa Psychotherapy | |
|
518 Main St Onamia MN 56359-4544 | |
| (218) 839-9886 | |
| Not Available |
| Full Name | Memengwaa Psychotherapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 518 Main St, Onamia, Minnesota |
| Authorized Official Name and Position | Christina Marie Irrgang-wade (OWNER/THERAPIST) |
| Authorized Official Contact | 2188399886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memengwaa Psychotherapy 13109 Twilight Rd Onamia MN 56359-7919 Ph: (218) 839-9886 | Memengwaa Psychotherapy 518 Main St Onamia MN 56359-4544 Ph: (218) 839-9886 |
| NPI Number | 1669114195 |
|---|---|
| Provider Enumeration Date | 04/13/2022 |
| Last Update Date | 04/13/2022 |
| Certification Date | 03/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669114195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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