Individual
TERRY THOMAS FARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
1406 6TH AVENUE NORTH, ST. CLOUD HOSPITAL- RECOVERY PLUS, ST. CLOUD, MN 56303-1901
(320) 251-2700
Mailing address
1900 CENTRACARE CIRCLE # 2475, CENTRA CARE HEALTH PLAZA, ST. CLOUD, MN 56303
(320) 229-5199
(320) 229-5109
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302797
MN
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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