Organization
PROCESSUS P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA C LEITHER BS (BUSINESS ADMINISTRATOR)
(320) 252-2976
Entity
Organization
Contact information
Practice address
110 2ND ST S, SUITE 301, WAITE PARK, MN 56387-1314
(320) 252-2976
(320) 656-1570
Mailing address
110 2ND ST S, SUITE 301, WAITE PARK, MN 56387-1314
(320) 252-2976
(320) 656-1570
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
804348
MN
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001441900
—
MN
Enumeration date
08/15/2006
Last updated
03/02/2021
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