Organization
MINNESOTA STATE COLLEGES AND UNIVERSITIES
Active
Parent organization
MINNESOTA STATE COLLEGES AND UNIVERSITIES
Other names
Minnesota State University, Mankato, Rural Behavioral Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINNESOTA STATE COLLEGES AND UNIVERSITIES
Authorized official
ROY KAMMER (DEAN)
(507) 389-1546
Entity
Organization
Contact information
Practice address
1600 WARREN ST STE 6, MANKATO, MN 56001-7113
(507) 389-1443
Mailing address
1600 WARREN ST STE 6, MANKATO, MN 56001-7113
(507) 389-1443
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
10/13/2025
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