Med City Psychotherapy LLC
Social Worker, Clinical in Rochester, MN. Organization (NPI-2).
NPI number1871291963
StatusActive
Last updated in NPPESJan 9, 2024
Details
- NPI
- 1871291963
- Entity type
- Organization (NPI-2)
- Legal business name
- Med City Psychotherapy LLC
- Organization subpart
- No
- Enumeration date
- Feb 20, 2023
- Certification date
- Jan 9, 2024
- Last updated
- Jan 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
3265 19th St Nw Ste 310Rochester, MN 55901-6786
Phone 507-990-2396
Mailing address
1006 9th Ave SeRochester, MN 55904-5073
Phone 507-990-2396
Authorized official
Katelyn Aleshire Olgren
Owner
5079902396
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