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Matt Blanshan, CPRS
Peer Specialist in North Mankato, Minnesota
NPI 1396503843

Matt Blanshan is a Peer Specialist based in North Mankato, MN. Matt Blanshan practices in North Mankato, MN and has the professional credentials of CPRS. The NPI Number for Matt Blanshan is 1396503843 and holds a License No. 9613 (Minnesota).

The current practice location address for Matt Blanshan is 1826 Commerce Dr, North Mankato, MN and can be reached out via phone at 507-229-0350 and via fax at 507-216-0371.

Location: 1826 Commerce Dr, North Mankato, MN, 56003-1800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396503843
Provider Name
Matt Blanshan
Credential
CPRS
Provider Entity Type
Individual
Gender
Male
Address
1826 Commerce Dr, North Mankato, MN, 56003-1800
Phone Number
507-229-0350
Fax Number
507-216-0371
Provider Enumeration Date
03/11/2024
Last Update Date
04/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9613 01 CPRS CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
1826 Commerce Dr
City
North Mankato
State
Minnesota
Zip
56003-1800
Phone Number
507-229-0350
Fax Number
507-216-0371
person
Provider Business Mailing Address Details
Address
1826 Commerce Dr
City
North Mankato
State
Minnesota
Zip
56003-1800
Phone Number
507-229-0350
Fax Number
507-216-0371
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
9613 (Minnesota)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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