Individual
C BROOK CHACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
119 FRIBERG AVE, FERGUS FALLS, MN 56537-2306
(218) 332-2018
Mailing address
410 E OAK ST, REDWOOD FALLS, MN 56283-1149
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
3178
MN
Other
Enumeration date
11/07/2017
Last updated
03/27/2024
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