Brock Ackerman
Individual provider Active NPI Mental Health Counselor · Moorhead, MN
NPI 1962841635 · NPPES record last updated Jun 17, 2013
Key facts
- NPI
- 1962841635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 891 Belsly Blvd
Moorhead, MN 56560-5055 - Phone
- (218) 287-4338
- Fax
- (218) 287-5928
- NPI assigned
- Jun 17, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
891 Belsly Blvd
Moorhead, MN 56560-5055
Mailing address
891 Belsly Blvd
Moorhead, MN 56560-5055
Phone (218) 287-4338
Other providers in Moorhead, MN
- Halimo Abdi
- Ahmed M Abdulahi
- Ritchell E Aboah
- Access of the Red River Valley
- Access of the Red River Valley Inc
- Maxwell Ackerman
- Teresa Adamson
- Khadija Adan
- Amelia Adank
- Eunice Afua Addai
All providers in Moorhead, MN · Mental Health Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.