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Contact Information

MARY K VERKENNES, M.A. L.P.
25039 EAST CLARK LAKE ROAD
NISSWA, MN56468
 Phone: 218-963-2657
 Fax: 218-963-4692
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARY K VERKENNES · (Female)

NPI Number 1972649846
Status Active
Credentials M.A. L.P.
Entity Individual
Enumeration date 01/29/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # LP0386
  • MN Other 11806VE BCBS PROVIDER ID
  • MN Other 6235127 MEDICA AND BHP PROVIDER #
  • MN Other 126422 UCARE PROVIDER ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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