Organization
TISCHER THERAPEUTIC SERVICES SUBSTANCE ABUSE TREATMENT PROGRAM
Active
Organization
TISCHER THERAPEUTIC SERVICES SUBSTANCE ABUSE TREATMENT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONYA BERTEEN BLAIR-TISCHER MA, PSYD, LPCC, LP (OWNER)
(218) 651-0212
Entity
Organization
Contact information
Practice address
115 5TH ST N, BRECKENRIDGE, MN 56520-1434
(218) 651-0212
(218) 651-0220
Mailing address
115 5TH ST N, BRECKENRIDGE, MN 56520-1434
(218) 651-0212
(218) 651-0220
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1090064
MN
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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