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Organization
JOURNEY MENTAL HEALTH SERVICES PLC
Active
Organization
JOURNEY MENTAL HEALTH SERVICES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE KOKESH L.P. (CLINIC DIRECTOR)
(320) 864-4109
Entity
Organization
Contact information
Practice address
1110 GREELEY AVE N, GLENCOE, MN 55336-2101
(320) 864-4109
(320) 864-4676
Mailing address
1110 GREELEY AVE N, GLENCOE, MN 55336-2101
(320) 864-4109
(320) 864-4676
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3932333-2
MN
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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