Organization · Type 2 NPI
Imagine Nation LLC
Mental Health Counselor · St. Cloud, MN
NPI number
1992456073
Active
Practice location
3333 W Division St Ste 100
St. Cloud, MN 56301-4555
Mailing address
417 5th Ave N
Sartell, MN 56377-1653
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1992456073
Imagine Nation LLC's National Provider Identifier is 1992456073, issued on Jan 11, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Cloud, MN. The record was last updated on Jan 11, 2022.