Search › Minnesota › 101YA0400X
Linda Bongo, LADC
NPI 1295126720 · on the registry since 2015 · sole proprietor
Practice
- Address
- 909 Broadway
Alexandria, MN 56308 - Phone
- (320) 763-0124
- Organisation at this address
- Thrive Behavioral Network Iv, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-02-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota