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Individual

DR. ALLAN JOSEPH COURSOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LP

Contact information

Practice address
209 S 2ND ST, SUITE 306, MANKATO, MN 56001-3626
(507) 387-1350
(507) 387-6605
Mailing address
1537 NOTTINGHAM DR, NORTH MANKATO, MN 56003-2813
(507) 345-7966

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LP1433
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1021816
PREFERRED ONE
MN
01
114892
UCARE
MN
01
6145483
UNITED BEHAVORIAL HEALTH
MN
01
6H523CO
BLUE CROSS
MN
01
HP28646
HEALTH PARTNERS
MN
Enumeration date
01/24/2007
Last updated
07/09/2007
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