| The Sanctuary Services, Llc | |
|
921 4th Ave Worthington MN 56187-2372 | |
| (605) 961-8156 | |
| Not Available |
| Full Name | The Sanctuary Services, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 921 4th Ave, Worthington, Minnesota |
| Authorized Official Name and Position | Andrea L Bloch (LICENSED MARRIAGE & FAMILY THERAPIS) |
| Authorized Official Contact | 6059618156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Sanctuary Services, Llc 10916 Us Highway 59 Fulda MN 56131-1325 Ph: (605) 961-8156 | The Sanctuary Services, Llc 921 4th Ave Worthington MN 56187-2372 Ph: (605) 961-8156 |
| NPI Number | 1154956761 |
|---|---|
| Provider Enumeration Date | 03/04/2020 |
| Last Update Date | 03/04/2020 |
| Certification Date | 03/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154956761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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