| Congruency Psychotherapy Llc | |
|
9733 Kent Ave Montgomery MN 56069-4903 | |
| (612) 227-9310 | |
| Not Available |
| Full Name | Congruency Psychotherapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9733 Kent Ave, Montgomery, Minnesota |
| Authorized Official Name and Position | Kathryn R Langdon (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 5077444272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Congruency Psychotherapy Llc 9733 Kent Ave Montgomery MN 56069-4903 Ph: (612) 227-9310 | Congruency Psychotherapy Llc 9733 Kent Ave Montgomery MN 56069-4903 Ph: (612) 227-9310 |
| NPI Number | 1467800201 |
|---|---|
| Provider Enumeration Date | 06/02/2016 |
| Last Update Date | 09/05/2019 |
| Medicare PECOS PAC ID | 7618206111 |
|---|---|
| Medicare Enrollment ID | O20190909003057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467800201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 20331 (Minnesota) | Primary |
| Provider Name | Kathryn R Langdon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265773527 PECOS PAC ID: 0143559641 Enrollment ID: I20190909003258 |
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