| New Prague Counseling | |
|
314 Main St E Ste 3 New Prague MN 56071-2448 | |
| (952) 457-3660 | |
| Not Available |
| Full Name | New Prague Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 314 Main St E Ste 3, New Prague, Minnesota |
| Authorized Official Name and Position | Karen Jensen (FOUNDER) |
| Authorized Official Contact | 9524573660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Prague Counseling 1509 English Ave Nw New Prague MN 56071-2214 Ph: (952) 457-3660 | New Prague Counseling 314 Main St E Ste 3 New Prague MN 56071-2448 Ph: (952) 457-3660 |
| NPI Number | 1790408367 |
|---|---|
| Provider Enumeration Date | 09/20/2022 |
| Last Update Date | 11/30/2022 |
| Certification Date | 11/30/2022 |
| Medicare PECOS PAC ID | 9931570421 |
|---|---|
| Medicare Enrollment ID | O20230119003053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790408367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Karen Jensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205192622 PECOS PAC ID: 5890059067 Enrollment ID: I20180516001680 |
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