Unknown Individual – Marriage & Family Therapist, NPI 1629246236
Marriage & Family Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4858, Banning Avenue, White Bear Lake, Ramsey County, Minnesota, 55110, United States
WHITE BEAR LAKE, MN 551102870
Phone: (651) 402-8883
Fax: (651) 653-7033
Type: Mailing
1485, 81st Avenue Northeast, Spring Lake Park, Anoka County, Minnesota, 55432, United States
SPRING LAKE PARK, MN 554322111
Phone: (763) 780-0784
Fax: (763) 780-0784
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55110)
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