| Family Prospective Resources, Inc | |
|
35 Lake St So Big Lake MN 55309 | |
| (763) 263-7896 | |
| (763) 263-7897 |
| Full Name | Family Prospective Resources, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 35 Lake St So, Big Lake, Minnesota |
| Authorized Official Name and Position | Jill M Tharaldson (OFFICE MANAGER) |
| Authorized Official Contact | 7632637896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Prospective Resources, Inc 35 Lake St So Po Box 3 Big Lake MN 55309 Ph: (763) 263-7896 | Family Prospective Resources, Inc 35 Lake St So Big Lake MN 55309 Ph: (763) 263-7896 |
| NPI Number | 1336367242 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336367242 | NPI | - | NPPES |
| 96804 | Other | MN | HEALTH PARTNERS |
| 104M8FA | Other | MN | BCBS - BLUE PLUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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