| Northern Pines Community Mental Health Center | |
|
520 Nw 5th St Brainerd MN 56401-2902 | |
| (218) 829-3235 | |
| (218) 829-1368 |
| Full Name | Northern Pines Community Mental Health Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 520 Nw 5th St, Brainerd, Minnesota |
| Authorized Official Name and Position | Mary Darlene Millicent (LICSW) |
| Authorized Official Contact | 3208281092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Pines Community Mental Health Center 11 1st St Se Po Box 32 Rice MN 56367-8857 Ph: (320) 828-1092 | Northern Pines Community Mental Health Center 520 Nw 5th St Brainerd MN 56401-2902 Ph: (218) 829-3235 |
| NPI Number | 1518067750 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 11/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518067750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 16030 (Minnesota) | Primary |
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Northern Pines Mental Health Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Nw 5th St, Brainerd, MN 56401 Phone: 218-829-3235 Fax: 218-829-1368 | |
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