Individual
MR. GEORGE WHITNEY CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
201 N. BROAD ST., MANKATO MENTAL HEALTH ASSOCIATES, MANKATO, MN 56001
(507) 345-4448
(507) 345-6761
Mailing address
201 N. BROAD ST., MANKATO MENTAL HEALTH ASSOCIATES, MANKATO, MN 56001
(507) 345-4448
(507) 345-6761
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
17134
MN
1041C0700X
Clinical Social Worker
Primary
LICSW17134
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061625700
—
MN
01
—
138108
UCARE
MN
01
—
722391045623
PREFERRED ONE
MN
01
—
81G42CL
BLUE CROSS
MN
01
—
HP58819
HEALTH PARTNERS
MN
Enumeration date
01/24/2007
Last updated
12/11/2013
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