Individual
DEBORAH ELLEN NEITZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Contact information
Practice address
1406 6TH AVENUE NORTH, ST. CLOUD HOSPITAL, ST. CLOUD, MN 56303-1901
(320) 251-2700
(320) 229-5109
Mailing address
1900 CENTRACARE CIR # 2475, CENTRA CARE HEALTH PLAZA, SAINT CLOUD, MN 56303-5000
(320) 229-5199
(320) 229-5109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
00164
MN
Other
Enumeration date
03/22/2010
Last updated
12/17/2012
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