Organization
MANKATO PSYCHOLOGY CLINIC, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEGGYSUE HESSE LP (OWNER, PARTNER)
(507) 387-1350
Entity
Organization
Contact information
Practice address
209 S 2ND ST, SUITE 306, MANKATO, MN 56001-3626
(507) 387-1350
(507) 387-6605
Mailing address
209 S 2ND ST, SUITE 306, MANKATO, MN 56001-3626
(507) 387-1350
(507) 387-6605
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1926616
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114490
UCARE
MN
01
—
155H1MA
BLUE CROSS
MN
01
—
6H520MA
BLUE CROSS
MN
01
—
6H521MA
BLUE CROSS
MN
01
—
81G62MA
BLUE CROSS
MN
Enumeration date
01/24/2007
Last updated
08/22/2020
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