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2212 2nd St Sw Unit 1 Rochester MN 55902-4421 | |
| (507) 258-4458 | |
| (507) 899-9577 |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2212 2nd St Sw Unit 1, Rochester, Minnesota |
| Authorized Official Name and Position | Kendra Ruth Henry (OWNER) |
| Authorized Official Contact | 5073588678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2212 2nd St Sw Unit 1 Rochester MN 55902-4421 Ph: (507) 258-4458 | 2212 2nd St Sw Unit 1 Rochester MN 55902-4421 Ph: (507) 258-4458 |
| NPI Number | 1265257521 |
|---|---|
| Provider Enumeration Date | 11/20/2024 |
| Last Update Date | 12/10/2024 |
| Certification Date | 12/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265257521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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