| Judith Louise Ross Agustin, MS, LMFT | |
|
8100 Penn Ave S Ste 150h, Bloomington, MN 55431-1346 | |
| (612) 314-6012 | |
| Not Available |
| Full Name | Judith Louise Ross Agustin |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 8100 Penn Ave S Ste 150h, Bloomington, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003195082 | NPI | - | NPPES |
| 1528451028 | Other | GROUP/BUSINESS ENTITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT2659 (Florida) | Secondary |
| 106H00000X | Marriage & Family Therapist | 2534 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Judith Louise Ross Agustin, MS, LMFT 8100 Penn Ave S Ste 150h, Bloomington, MN 55431-1346 Ph: (612) 314-6012 | Judith Louise Ross Agustin, MS, LMFT 8100 Penn Ave S Ste 150h, Bloomington, MN 55431-1346 Ph: (612) 314-6012 |
Ms. Carolynne J Moffat, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7800 Metro Pkwy, Suite 300, Bloomington, MN 55425 Phone: 651-278-7607 Fax: 952-851-9618 | |
Debbie Lynn Hennen-bergman, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8100 Penn Ave S, Suite 104, Bloomington, MN 55431 Phone: 952-457-8557 | |
Mr. David Alois Praska Jr., MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1101 E 78th St Ste 100, Bloomington, MN 55420 Phone: 952-854-5034 Fax: 952-854-5363 | |
Brian Patrick Zirngible, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1101 E 78th St, Suite 318, Bloomington, MN 55420 Phone: 612-670-5848 | |
Melissa Lee Gawlik, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 8120 Penn Ave S Ste 270, Bloomington, MN 55431 Phone: 800-336-5973 | |
Kimberly Lynn Diepenbrock, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1801 American Blvd E Ste 8, Bloomington, MN 55425 Phone: 952-767-2293 |