Southern Valley Psychology Clinic, PA
Counselor, Professional in Mankato, MN. Organization (NPI-2).
NPI number1407990807
StatusActive
Last updated in NPPESFeb 4, 2013
Details
- NPI
- 1407990807
- Entity type
- Organization (NPI-2)
- Legal business name
- Southern Valley Psychology Clinic, PA
- Organization subpart
- No
- Enumeration date
- Feb 18, 2007
- Last updated
- Feb 4, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
11 Civic Center PlzSte 201
Mankato, MN 56001-7710
Phone 507-385-7725 · Fax 507-385-0576
Mailing address
11 Civic Center PlzSte 201
Mankato, MN 56001-7710
Phone 507-385-7725 · Fax 507-385-0576
Authorized official
Barbara Glass
Partner
5073857725
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