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Organization

MENTAL HEALTH RESOURCES

Active
Other names
MHR
Organization subpart
No

Provider details

NPI number
Authorized official
ROXANNE CONDON (VP OF ADMINISTRATIVE SERVICES)
(651) 659-2900
Entity
Organization

Contact information

Practice address
7766 HIGHWAY 65 NE, SPRING LAKE PARK, MN 55432-2868
(763) 789-4895
(763) 789-4798
Mailing address
762 TRANSFER RD STE 21, SAINT PAUL, MN 55114-1489
(651) 659-2914

Taxonomy

Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
30635
MN

Other

Enumeration date
08/21/2018
Last updated
03/07/2025
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