Family Lifestyles, Counseling & Therapy | |
5100 Thimsen Ave Suite 130 Minnetonka MN 55345-4108 | |
(612) 716-7159 | |
(952) 474-4025 |
Full Name | Family Lifestyles, Counseling & Therapy |
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Speciality | Psychologist |
Location | 5100 Thimsen Ave, Minnetonka, Minnesota |
Authorized Official Name and Position | Kevin H. Blonigen (PRESIDENT) |
Authorized Official Contact | 6127167159 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Lifestyles, Counseling & Therapy 5100 Thimsen Ave Suite 130 Minnetonka MN 55345-4108 Ph: (612) 716-7159 | Family Lifestyles, Counseling & Therapy 5100 Thimsen Ave Suite 130 Minnetonka MN 55345-4108 Ph: (612) 716-7159 |
NPI Number | 1629390125 |
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Provider Enumeration Date | 02/24/2010 |
Last Update Date | 02/24/2010 |
Identifier | Type | State | Issuer |
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1629390125 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | LP 3981 (Minnesota) | Primary |
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