| Family Therapy & Recovery Ctr | |
|
5353 Gamble Dr Suite 108 St Louis Park MN 55416-1539 | |
| (952) 545-8833 | |
| Not Available |
| Full Name | Family Therapy & Recovery Ctr |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5353 Gamble Dr, St Louis Park, Minnesota |
| Authorized Official Name and Position | Sharon Kaye Ondich (PRESIDENT) |
| Authorized Official Contact | 9525458833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Therapy & Recovery Ctr 5353 Gamble Dr Suite 108 St Louis Park MN 55416-1539 Ph: (952) 545-8833 | Family Therapy & Recovery Ctr 5353 Gamble Dr Suite 108 St Louis Park MN 55416-1539 Ph: (952) 545-8833 |
| NPI Number | 1275647604 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275647604 | NPI | - | NPPES |
| 121015 | Other | MN | MN CARE |
| 7H008FA | Other | MN | BCBSIMN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP1366 (Minnesota) | Primary |
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