institution
Southern Valley Psychology Clinic, Pa
Professional Counselor in Mankato, Minnesota
NPI 1407990807

Southern Valley Psychology Clinic, Pa is a Professional Counselor based in Mankato, MN and is specialized in Professional. Southern Valley Psychology Clinic, Pa practices in Mankato, MN. The NPI Number for Southern Valley Psychology Clinic, Pa is 1407990807 and holds a License No. (Minnesota).

The current practice location address for Southern Valley Psychology Clinic, Pa is 11 Civic Center Plz, Mankato, MN and can be reached out via phone at 507-385-7725 and via fax at 507-385-0576.

Location: 11 Civic Center Plz, Mankato, MN, 56001-7710
institution
Provider Profile Details
NPI Number
1407990807
Provider Name
Southern Valley Psychology Clinic, Pa
Credential
Provider Entity Type
Organization
Address
11 Civic Center Plz, Mankato, MN, 56001-7710
Phone Number
507-385-7725
Fax Number
507-385-0576
Provider Enumeration Date
02/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
318G1SO 01 MN BLUE CROSS
241913100 05 MN
1383 01 MN UCARE
institution
Provider Business Practice Location Address Details
Address
11 Civic Center Plz
City
State
Zip
56001-7710
Phone Number
507-385-7725
Fax Number
507-385-0576
person
Provider Business Mailing Address Details
Address
11 Civic Center Plz
City
State
Zip
56001-7710
Phone Number
507-385-7725
Fax Number
507-385-0576
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
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Definition
Definition to come...
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