Wild Tree Psychotherapy, Llc

NPI 1528451408 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1528451408
Enumeration Date 03/16/2015
Last Updated 03/16/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name LAUREN LAUREN
Position OWNER
Phone (763) 212-4920
Fax
Practice Location
1061 GRAND AVE
SAINT PAUL MN, 55105-3002, US
Phone (763) 212-4920
Fax
Business Location
1061 GRAND AVE
SAINT PAUL MN, 55105-3002, US
Phone (763) 212-4920
Fax
Toxanomy
Taxonomy Code 251S00000X
License State Minnesota
License Number 303202
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According to our database, Wild Tree Psychotherapy, Llc NPI is 1528451408, taxonomy code is 251S00000X and license number is 303202, license state is located at Minnesota. Wild Tree Psychotherapy, Llc physically located at 1061 Grand Ave, Saint Paul MN, 55105-3002. NPI Number 1033115704 has the healthcare provider type.

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1528451408 NPI number is provided on an as is basis without warranty of any kind. 1528451408 is maintained by the National Plan & Provider Enumeration System. The contents of Wild Tree Psychotherapy, Llc are for informational purposes only.