| Peregrine Psychotherapy | |
|
504 N 17th Ave E Duluth MN 55812-1240 | |
| (608) 213-3280 | |
| Not Available |
| Full Name | Peregrine Psychotherapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 504 N 17th Ave E, Duluth, Minnesota |
| Authorized Official Name and Position | Kathleen Mccarty (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6082133280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peregrine Psychotherapy 504 N 17th Ave E Duluth MN 55812-1240 Ph: (608) 213-3280 | Peregrine Psychotherapy 504 N 17th Ave E Duluth MN 55812-1240 Ph: (608) 213-3280 |
| NPI Number | 1336981125 |
|---|---|
| Provider Enumeration Date | 06/11/2024 |
| Last Update Date | 06/11/2024 |
| Certification Date | 06/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336981125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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