Thelen, Mark R

Thelen, Mark R is an sole proprietor health care provider with primary practice located at 261 E Broadway St , Monticello MN 55362-9317. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Thelen, Mark R can be contacted via phone (763) 370-0243.

Contact Information

Primary practice address
261 E Broadway St Monticello MN 55362-9317
Phone: (763) 370-0243
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 645 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP2992 Minnesota

Profile Details

NPI number 1568425908
LBN Legal business name Thelen, Mark R
Credentials PSYD LP LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2006
Last updated Apr 21st, 2021 - about 5 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 1568425908 NPPES
Other 6118960 UBH
Other 105008 UBH
Other HP27417 UBH
Other 1023459 UBH
Other 680007902 UBH
MEDICAID 704817300 UBH
Other 7H446TH UBH

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