Teigen, Gudrun
Teigen, Gudrun is an individual health care provider with primary practice located at 1650 Madison Ave Ste 102 , Mankato MN 56001-5471. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Teigen, Gudrun can be contacted via phone (507) 345-7012.Contact Information
Primary practice address
1650 Madison Ave Ste 102
Mankato MN 56001-5471
Phone: (507) 345-7012
Fax: (507) 388-6937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 23674 | Minnesota |
Profile Details
| NPI number | 1548700859 |
|---|---|
| LBN Legal business name | Teigen, Gudrun |
| Credentials | MSW, LICSW, LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2017 |
| Last updated | Dec 9th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548700859 | NPPES |
| Minnesota | MEDICAID | 1548700859 |
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