Graduated: 2023
Offers telehealth
NPI: 1558041616
Practice Locations (2)
ST CLOUD HOSPITAL
1406 6TH AVE N
SAINT CLOUD, MN 563031900
3202512700
RANGE MENTAL HEALTH CENTER
624 13TH ST S
VIRGINIA, MN 557923149
2187492881
Source: CMS National Downloadable File, September 2026.