| The Minnesota Center For Couples And Family Therapy, Llc | |
|
1120 E 80th St Suite 200 Bloomington MN 55420-1462 | |
| (952) 767-0442 | |
| Not Available |
| Full Name | The Minnesota Center For Couples And Family Therapy, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1120 E 80th St, Bloomington, Minnesota |
| Authorized Official Name and Position | Roger A Ballou (CO-OWNER) |
| Authorized Official Contact | 6512467592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Minnesota Center For Couples And Family Therapy, Llc 1120 E 80th St Suite 200 Bloomington MN 55420-1462 Ph: (952) 767-0442 | The Minnesota Center For Couples And Family Therapy, Llc 1120 E 80th St Suite 200 Bloomington MN 55420-1462 Ph: (952) 767-0442 |
| NPI Number | 1093061301 |
|---|---|
| Provider Enumeration Date | 07/24/2012 |
| Last Update Date | 07/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093061301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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