| White Earth Band Of Ojibwe - Indian Child Welfare | |
|
301 Feather Street Ogema MN 56569 | |
| (218) 983-3011 | |
| (218) 983-3002 |
| Full Name | White Earth Band Of Ojibwe - Indian Child Welfare |
|---|---|
| Speciality | Counselor - Professional |
| Location | 301 Feather Street, Ogema, Minnesota |
| Authorized Official Name and Position | Jeri Lynn Jasken (CHILD WELFARE DIRECTOR) |
| Authorized Official Contact | 2189834647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Earth Band Of Ojibwe - Indian Child Welfare 301 Feather Street Ogema MN 56569 Ph: (218) 983-3011 | White Earth Band Of Ojibwe - Indian Child Welfare 301 Feather Street Ogema MN 56569 Ph: (218) 983-3011 |
| NPI Number | 1457639551 |
|---|---|
| Provider Enumeration Date | 07/25/2011 |
| Last Update Date | 07/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457639551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 14486 (Minnesota) | Secondary |
| 101YP2500X | Counselor - Professional | 0086 (Minnesota) | Primary |
Circle Back Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 35708 Co. Hwy. 21, Ogema, MN 56569 Phone: 218-983-3285 Fax: 218-983-3027 |