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Organization

127 MINISTRIES PSC

Active
Other names
127 Ministries
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA LARSEN LICSW (DIRECTOR)
(320) 515-2357
Entity
Organization

Contact information

Practice address
2136 JOPLIN ST, MORA, MN 55051-6831
(320) 515-2357
(320) 515-2357
Mailing address
2136 JOPLIN ST, MORA, MN 55051-6831
(320) 515-2357
(320) 515-2357

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
11/09/2024
Last updated
11/09/2024
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