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Organization
MYND INTEGRATED LLC
Active
Organization
MYND INTEGRATED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIN RACHEL HAGEN PH.D. (OWNER/MENTAL HEALTH COUNSELOR)
(701) 205-1466
Entity
Organization
Contact information
Practice address
300 NP AVE N STE 210, FARGO, ND 58102-4871
(701) 205-1466
Mailing address
5704 3RD ST N, MOORHEAD, MN 56560-6555
(701) 220-8714
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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