Individual
COURTNEY JO MENTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Contact information
Practice address
603 VINE ST, BRAINERD, MN 56401-4058
(763) 363-3036
Mailing address
PO BOX 973, MOOSE LAKE, MN 55767-0973
(507) 251-6070
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00765
MN
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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