| Northlight Mental Health, Pllc | |
|
4047 Highway 61 N Ste 202 White Bear Lake MN 55110-4631 | |
| (651) 237-3102 | |
| Not Available |
| Full Name | Northlight Mental Health, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4047 Highway 61 N Ste 202, White Bear Lake, Minnesota |
| Authorized Official Name and Position | Dustin Jensen (PRACTICE MANAGER) |
| Authorized Official Contact | 6518880651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northlight Mental Health, Pllc 202 N Cedar Ave Ste 1 Owatonna MN 55060-2306 Ph: (509) 768-2249 | Northlight Mental Health, Pllc 4047 Highway 61 N Ste 202 White Bear Lake MN 55110-4631 Ph: (651) 237-3102 |
| NPI Number | 1740044965 |
|---|---|
| Provider Enumeration Date | 02/08/2024 |
| Last Update Date | 07/24/2024 |
| Certification Date | 07/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740044965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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