| Dma Consulting Llc | |
|
24799 Forest Blvd Forest Lake MN 55025-7215 | |
| (651) 257-4406 | |
| (651) 257-4406 |
| Full Name | Dma Consulting Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 24799 Forest Blvd, Forest Lake, Minnesota |
| Authorized Official Name and Position | David Michael Anderson (MANAGING MEMBER) |
| Authorized Official Contact | 6512574406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dma Consulting Llc Po Box 536 Forest Lake MN 55025-0536 Ph: (651) 257-4406 | Dma Consulting Llc 24799 Forest Blvd Forest Lake MN 55025-7215 Ph: (651) 257-4406 |
| NPI Number | 1043330335 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043330335 | NPI | - | NPPES |
| 9630 | Other | MN | BCBS |
| 172491 | Other | MN | UCARE |
| 9629 | Other | MN | BCBS |
| 172491 | Other | MN | BHP |
| 6274983 | Other | MN | MEDICA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1061 (Minnesota) | Primary |
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