Seeds Of Change Psychology Clinic | |
1304 Marshall St Suite 2 Saint Peter MN 56082-4500 | |
(507) 934-2232 | |
(507) 934-2096 |
Full Name | Seeds Of Change Psychology Clinic |
---|---|
Speciality | Community/behavioral Health |
Location | 1304 Marshall St, Saint Peter, Minnesota |
Authorized Official Name and Position | Joann Patrice Frey-hawkins (CHIEF MANAGER) |
Authorized Official Contact | 5079342232 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Seeds Of Change Psychology Clinic 1304 Marshall St Suite 2 Saint Peter MN 56082-4500 Ph: (507) 934-2232 | Seeds Of Change Psychology Clinic 1304 Marshall St Suite 2 Saint Peter MN 56082-4500 Ph: (507) 934-2232 |
NPI Number | 1649564766 |
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Provider Enumeration Date | 06/06/2011 |
Last Update Date | 06/06/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649564766 | NPI | - | NPPES |
1093860587 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LP0414 (Minnesota) | Primary |
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