Individual
MR. JAMES T MOLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
900 GOLF AVE SW, PINE CITY, MN 55063-5015
(320) 629-7600
(320) 629-7900
Mailing address
220 RAILROAD ST SE, PINE CITY, MN 55063-1540
(320) 629-7600
(320) 629-7900
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3801
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1032821
BEHAVIORAL HEALTHCARE PRO
MN
01
—
114812
UCARE MN
MN
01
—
233J0M0
BCBS
MN
05
—
522222200
—
MN
01
—
6253648
UNITED BEHAVIORAL HEALTH
MN
01
—
HP37571
HEALTH PARTNERS
—
Enumeration date
09/20/2005
Last updated
09/30/2011
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