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Organization
CENTRAL MINNESOTA MENTAL HEALTH CENTER
Active
Organization
CENTRAL MINNESOTA MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD LEE PHD (EXECUTIVE DIRECTOR)
(320) 202-2033
Entity
Organization
Contact information
Practice address
253 8TH STREET NW, SUITE A, ELK RIVER, MN 55330-1780
(763) 441-3770
(763) 441-9057
Mailing address
3400 1ST ST N STE 101, SAINT CLOUD, MN 56303-1924
(320) 202-2000
(320) 253-1684
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
800356-1-MHC
MN
Other
Enumeration date
10/27/2017
Last updated
08/20/2018
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