Organization
NEIGHBORHOOD COUNSELING CENTER OF WADENA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KRAEMER (DIRECTOR)
(218) 631-1714
Entity
Organization
Contact information
Practice address
11 2ND ST SW, WADENA, MN 56482-1417
(218) 631-1714
Mailing address
11 2ND ST SW, WADENA, MN 56482-1417
(218) 631-1714
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
810295-1-MHC
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7H310NE
BLUE CROSS BLUE SHIELD
MN
Enumeration date
07/19/2006
Last updated
08/22/2020
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