Organization
GAYLE NEUERBURG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAYLE LINDA NEUERBURG LMFT (MARRIAGE AND FAMILY THERAPIST)
(218) 721-2982
Entity
Organization
Contact information
Practice address
1521 NORTHWAY DR STE 110, SAINT CLOUD, MN 56303-1274
(218) 721-2982
Mailing address
1736 LUCILLE LN, SAINT CLOUD, MN 56303-0432
(218) 721-2982
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
2443
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366878381
LMFT
MN
Enumeration date
01/16/2018
Last updated
05/14/2023
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