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General NPI Number Information
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NPI Number | 1376362251
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Entity Type | Organization
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Legal Business Name | RICKERTSEN THERAPY CENTER
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 116 MAIN ST S
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City | HUTCHINSON
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State | MN
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Zip | 55350-2507
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Country | US
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Telephone | 763-245-1970
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 W SHORE DR SW
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City | HUTCHINSON
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State | MN
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Zip | 55350-6740
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Country | US
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Telephone | 763-245-1970
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Fax |
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Authorized Official
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Title or Position | CEO & MARRIAGE FAMILY THERAPIST
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Name | MRS. SANDRA LYNN RICKERTSEN
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Credential | MS LMFT
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Telephone | 763-245-1970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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