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Organization
MN MENTAL HEALTH SPECIALISTS PA
Active
Organization
MN MENTAL HEALTH SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA LYNN MARTINI-TISCHER MA LPCC (MENTAL HEALTH PROFESSIONAL)
(612) 296-8901
Entity
Organization
Contact information
Practice address
303 CREDIT UNION DR STE 12A, ISANTI, MN 55040-4010
(612) 296-8901
Mailing address
6971 330TH LN NW, PRINCETON, MN 55371-4930
(612) 296-8901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
Other
Enumeration date
11/07/2022
Last updated
09/13/2023
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