Organization
THE REGENERATION CENTER
Active
Other names
Lifeline Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ROBERT JOHNSON L.P.C. (COUNSELOR)
(320) 759-0794
Entity
Organization
Contact information
Practice address
1307 HIGHWAY 29 N, SUITE 1, ALEXANDRIA, MN 56308-5157
(320) 759-0794
(320) 759-9053
Mailing address
1307 HIGHWAY 29 N, SUITE 1, ALEXANDRIA, MN 56308-5157
(320) 759-0794
(320) 759-9053
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
00089
MN
Other
Enumeration date
01/15/2008
Last updated
01/17/2008
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