Organization
ADDICTIONS AND STRESS CLINICS LTD
Active
Other names
ASC PSYCHOLOGICAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
AMY B NELSON (ADMINISTRATIVE DIRECTOR)
(507) 345-4679
Entity
Organization
Contact information
Practice address
11 CIVIC CENTER PLZ STE 205, MANKATO, MN 56001-7718
(507) 345-4679
(507) 345-8685
Mailing address
11 CIVIC CENTER PLZ STE 205, MANKATO, MN 56001-7718
(507) 345-4679
(507) 345-8685
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CC00325
MN
103T00000X
Psychologist
Primary
LP1673
MN
103T00000X
Psychologist
LP4863
MN
103TC0700X
Clinical Psychologist
LP4863
MN
Other
Enumeration date
11/08/2011
Last updated
08/07/2025
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