Gary Jerome Brink in Rochester - Mental Health
Gary Jerome Brink - NPI 1093830804
Gary Jerome Brink is a Mental Health in Rochester, Minnesota. Gary Jerome Brink practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Gary Jerome Brink is 1093830804. The last update date is 2007-07-08.
Gary Jerome Brink's current location address is 1700 N Broadway, Rochester, Minnesota. You can contact this provider via phone number 5072859337. The mailing address for Gary Jerome Brink is 1700 N Broadway, Rochester, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Jerome Brink |
|---|---|
| Address | 1700 N Broadway, Rochester, Minnesota |
| Phone Number | 5072859337 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1093830804 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1700 N Broadway |
|---|---|
| City | Rochester |
| State | Minnesota (MN) |
| Post Code | 559064144 |
| Phone Number | 5072859337 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 1210 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identification code assigned to Gary Jerome Brink by the Centers for Medicare & Medicaid Services?
The Gary Jerome Brink has been issued the NPI (National Provider Identifier) 1093830804, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Gary Jerome Brink is physically located?
The Gary Jerome Brink is situated at the following address: 1700 N Broadway, Rochester, MN 559064144.
What is Gary Jerome Brink's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gary Jerome Brink's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.
On what date did the Gary Jerome Brink receive its 1093830804 assignment from the Centers for Medicare & Medicaid Services?
The Gary Jerome Brink was assigned its 1093830804 by the Centers for Medicare & Medicaid Services on 2007-03-20.
As of what date were the details pertaining to Gary Jerome Brink last refreshed?
The information related to the Gary Jerome Brink, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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