Corinne G Mortensen MA, LMFT

NPI 1568778231 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1568778231
Gender Female
Enumeration Date 08/19/2010
Last Updated 08/19/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2705 BUNKER LAKE BLVD NW
SUITE 100
ANDOVER MN, 55304-3784, US
Phone (763) 754-0903
Fax (612) 235-6447
Business Location
2705 BUNKER LAKE BLVD NW
SUITE 100
ANDOVER MN, 55304-3784, US
Phone (763) 754-0903
Fax (612) 235-6447
Toxanomy
Taxonomy Code 106H00000X
License State Minnesota
License Number 1878
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According to our database, Corinne G Mortensen MA, LMFT NPI is 1568778231, taxonomy code is 106H00000X and license number is 1878, license state is located at Minnesota. Corinne G Mortensen MA, LMFT physically located at 2705 Bunker Lake Blvd Nw, Andover MN, 55304-3784. NPI Number Corinne G Mortensen MA, LMFT has the Individual type.

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1568778231 NPI number is provided on an as is basis without warranty of any kind. 1568778231 is maintained by the National Plan & Provider Enumeration System. The contents of Corinne G Mortensen MA, LMFT are for informational purposes only.