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Organization
PRAIRIE FAMILY COUNSELING, LLC
Active
Organization
PRAIRIE FAMILY COUNSELING, LLC
Active
Other names
Prairie Family Counseling, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BRYS DAVIS LICSW (OWNER/THERAPIST)
(507) 766-7685
Entity
Organization
Contact information
Practice address
210 20TH ST S, NEW ULM, MN 56073
(507) 766-7685
(507) 216-6600
Mailing address
PO BOX 743, NEW ULM, MN 56073-2223
(507) 766-7685
(507) 216-6600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17460
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
802944000
—
MN
Enumeration date
03/03/2017
Last updated
02/23/2023
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