Vikingland Community Support Program Inc | |
700 Cedar St Suite #144 Alexandria MN 56308-1769 | |
(320) 763-6261 | |
(320) 763-6749 |
Full Name | Vikingland Community Support Program Inc |
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Speciality | Counselor - Mental Health |
Location | 700 Cedar St, Alexandria, Minnesota |
Authorized Official Name and Position | Heidi Lynn Corder (PROGRAM DIRECTOR) |
Authorized Official Contact | 3207636261 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vikingland Community Support Program Inc 700 Cedar St Suite #144 Alexandria MN 56308-1769 Ph: (320) 763-6261 | Vikingland Community Support Program Inc 700 Cedar St Suite #144 Alexandria MN 56308-1769 Ph: (320) 763-6261 |
NPI Number | 1144388273 |
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Provider Enumeration Date | 12/04/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1144388273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Minnesota) | Primary |
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