| Psychotherapy - Psicoterapia | |
|
900 American Blvd E 142 Bloomington MN 55420-1392 | |
| (651) 214-5170 | |
| Not Available |
| Full Name | Psychotherapy - Psicoterapia |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 900 American Blvd E, Bloomington, Minnesota |
| Authorized Official Name and Position | Maria Angelica Keller (PSYCHOTHERAPIST) |
| Authorized Official Contact | 6512145170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapy - Psicoterapia 1981 Crown Point Dr Mendota Heights MN 55118-4203 Ph: (651) 214-5170 | Psychotherapy - Psicoterapia 900 American Blvd E 142 Bloomington MN 55420-1392 Ph: (651) 214-5170 |
| NPI Number | 1639574999 |
|---|---|
| Provider Enumeration Date | 10/29/2014 |
| Last Update Date | 10/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639574999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 16155 (Minnesota) | Primary |
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