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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
DAVID J. BARAGA PH.D,, LP (EXECUTIVE DIRECTOR)
(320) 252-5010
Entity
Organization
Contact information
Practice address
407 WASHINGTON ST, MONTICELLO, MN 55362-8815
(763) 271-5340
(763) 271-5350
Mailing address
1321 13TH ST N, SAINT CLOUD, MN 56303-2613
(320) 252-5010
(320) 203-1855
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
800356-1-MHC
MN
Other
Enumeration date
05/15/2007
Last updated
07/21/2008
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