Organization
CENTRAL MINNESOTA MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD LEE PHD (EXECUTIVE DIRECTOR)
(320) 202-2033
Entity
Organization
Contact information
Practice address
253 8TH STREET NW, SUITE A, ELK RIVER, MN 55330-1780
(763) 441-3770
(763) 441-9057
Mailing address
3400 1ST ST N STE 101, SAINT CLOUD, MN 56303-1924
(320) 202-2000
(320) 253-1684
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
800356-1-MHC
MN
Other
Enumeration date
10/27/2017
Last updated
08/20/2018
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