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Gertrude Mongare
Mental Health Counselor in Crystal, Minnesota
NPI 1831708098

Gertrude Mongare is a Mental Health Counselor based in Crystal, MN and is specialized in Mental Health. Gertrude Mongare practices in Crystal, MN. The NPI Number for Gertrude Mongare is 1831708098 and holds a License No. (Minnesota).

The current practice location address for Gertrude Mongare is 5701 Kentucky Ave N Ste 100, Crystal, MN and can be reached out via phone at 763-228-8086.

Location: 5701 Kentucky Ave N Ste 100, Crystal, MN, 55428-3370
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831708098
Provider Name
Gertrude Mongare
Credential
Provider Entity Type
Individual
Gender
Female
Address
5701 Kentucky Ave N Ste 100, Crystal, MN, 55428-3370
Phone Number
763-228-8086
Fax Number
Provider Enumeration Date
07/23/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BIRTHDATE 01 01131992
institution
Provider Business Practice Location Address Details
Address
5701 Kentucky Ave N Ste 100
City
Crystal
State
Minnesota
Zip
55428-3370
Phone Number
763-228-8086
Fax Number
person
Provider Business Mailing Address Details
Address
5701 Kentucky Ave N Ste 100
City
Crystal
State
Minnesota
Zip
55428-3370
Phone Number
763-228-8086
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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