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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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