Skodje-Mack, Barbara

Skodje-Mack, Barbara is an individual health care provider with primary practice located at 1900 Centracare Cir Ste 1000 , Saint Cloud MN 56303-5000. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Skodje-Mack, Barbara can be contacted via phone (320) 229-5199.

Contact Information

Primary practice address
1900 Centracare Cir Ste 1000 Saint Cloud MN 56303-5000
Phone: (320) 229-5199
Fax: (202) 295-1413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 98 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1417 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1417 Minnesota

Profile Details

NPI number 1609933498
LBN Legal business name Skodje-Mack, Barbara
Credentials EDD, LMFT, LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated May 13th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609933498 NPPES
Minnesota Other 01044729 PREFERRED ONE
Minnesota Other 136391 PREFERRED ONE
Minnesota MEDICAID 098402000 PREFERRED ONE
Minnesota Other 155H2SK PREFERRED ONE
Minnesota Other HP56449 PREFERRED ONE

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