| Lutheran Social Service Of Minnesota | |
|
333 Litchfield Avenue Sw Willmar MN 56201-3352 | |
| (320) 235-5411 | |
| (320) 235-2601 |
| Full Name | Lutheran Social Service Of Minnesota |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 333 Litchfield Avenue Sw, Willmar, Minnesota |
| Authorized Official Name and Position | Dianne Louise Halterman (MENTAL HEALTH PROFESSIONAL) |
| Authorized Official Contact | 3202355411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Social Service Of Minnesota 333 Litchfield Ave Sw Willmar MN 56201-3352 Ph: (320) 235-5411 | Lutheran Social Service Of Minnesota 333 Litchfield Avenue Sw Willmar MN 56201-3352 Ph: (320) 235-5411 |
| NPI Number | 1801968300 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801968300 | NPI | - | NPPES |
| 00130 | Other | MN | L.P.C. |
| 44742 | Other | MN | NCC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 00130 (Minnesota) | Primary |
| 251S00000X | Community/behavioral Health | NCC 44742 (Minnesota) | Primary |
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