Willow Lake Mental Health Center

NPI 1063738508 - Psychologist - 103TC0700X

NPI Details
NPI 1063738508
Enumeration Date 04/08/2010
Last Updated 04/08/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JEANNE JEANNE
Position OWNER
Phone (320) 587-4127
Fax (320) 587-3886
Practice Location
902 HIGHWAY 15 S
HUTCHINSON MN, 55350-3506, US
Phone (320) 587-4127
Fax (320) 587-3886
Business Location
902 HIGHWAY 15 S
HUTCHINSON MN, 55350-3506, US
Phone (320) 587-4127
Fax (320) 587-3886
Toxanomy
Taxonomy Code 103TC0700X
License State
License Number
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According to our database, Willow Lake Mental Health Center NPI is 1063738508, taxonomy code is 103TC0700X Willow Lake Mental Health Center physically located at 902 Highway 15 S, Hutchinson MN, 55350-3506. NPI Number 1033115704 has the healthcare provider type.

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1063738508 NPI number is provided on an as is basis without warranty of any kind. 1063738508 is maintained by the National Plan & Provider Enumeration System. The contents of Willow Lake Mental Health Center are for informational purposes only.