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Organization

INDIGO COUNSELING PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KARLA VAN WIENEN (CREDENTIALING / CONTRACTING)
(320) 746-0025
Entity
Organization

Contact information

Practice address
624 NW 5TH ST, BRAINERD, MN 56401-2904
(218) 232-3089
(218) 302-0440
Mailing address
6736 OJIBWA RD, BRAINERD, MN 56401-7034
(218) 232-3089

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
09/16/2024
Last updated
03/10/2026
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