| Cedarbrook Counseling LLC | |
|
6980 Fairview Rd Suite 110 Baxter MN 56425-7836 | |
| (218) 822-3736 | |
| (218) 822-3761 |
| Full Name | Cedarbrook Counseling LLC |
|---|---|
| Speciality | Psychologist |
| Location | 6980 Fairview Rd, Baxter, Minnesota |
| Authorized Official Name and Position | Jerry E. Jensen (DIRECTOR) |
| Authorized Official Contact | 2188223736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedarbrook Counseling LLC Po Box 2633 Baxter MN 56425-2633 Ph: (218) 822-3736 | Cedarbrook Counseling LLC 6980 Fairview Rd Suite 110 Baxter MN 56425-7836 Ph: (218) 822-3736 |
| NPI Number | 1871596585 |
|---|---|
| Provider Enumeration Date | 05/27/2005 |
| Last Update Date | 02/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871596585 | NPI | - | NPPES |
| 555519100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP 4642 (Minnesota) | Primary |
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