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Organization
CENTRAL MINNESOTA MENTAL HEALTH CENTER
Active
Organization
CENTRAL MINNESOTA MENTAL HEALTH CENTER
Active
Other names
CMMHC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J. BARAGA PH.D., LP (EXECUTIVE DIRECTOR)
(320) 252-5010
Entity
Organization
Contact information
Practice address
1321 13TH ST N, SAINT CLOUD, MN 56303-2613
(320) 252-5010
(320) 203-1855
Mailing address
1321 13TH ST N, SAINT CLOUD, MN 56303-2613
(320) 252-5010
(320) 203-1855
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1022869-1-CDT
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
800357-1-CDT
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
800832-2-CDT
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
804852-1-DS
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
807286-3-CDT
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
809836-2-CDT
MN
101YM0800X
Mental Health Counselor
Primary
800356-1-MHC
MN
320800000X
Mental Illness Community Based Residential Treatment Facility
809140-1-RMI
MN
Other
Enumeration date
01/06/2006
Last updated
05/27/2009
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