| Two Otters Counseling Center, Llc | |
|
101 W Highway 61 #60 Grand Marais MN 55604-2333 | |
| (218) 387-9133 | |
| (218) 387-9197 |
| Full Name | Two Otters Counseling Center, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 101 W Highway 61, Grand Marais, Minnesota |
| Authorized Official Name and Position | Skye V Payne (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2183879133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Otters Counseling Center, Llc 101 W Highway 61 #60 Grand Marais MN 55604-2333 Ph: (218) 387-9133 | Two Otters Counseling Center, Llc 101 W Highway 61 #60 Grand Marais MN 55604-2333 Ph: (218) 387-9133 |
| NPI Number | 1033360524 |
|---|---|
| Provider Enumeration Date | 10/02/2008 |
| Last Update Date | 10/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033360524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP2413 (Minnesota) | Primary |
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