Kannenberg, Carla Jean

Kannenberg, Carla Jean is an individual health care provider with primary practice located at 1321 13Th St N , Saint Cloud MN 56303-2613. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kannenberg, Carla Jean can be contacted via phone (320) 252-5010.

Contact Information

Primary practice address
1321 13Th St N Saint Cloud MN 56303-2613
Phone: (320) 252-5010
Fax: (320) 203-1855
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1649402363
LBN Legal business name Kannenberg, Carla Jean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2009
Last updated Aug 13th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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