Full Spectrum Psychotherapy, Llc | |
7515 Wayzata Blvd Suite 211 St Louis Park MN 55426-1604 | |
(952) 544-2288 | |
Not Available |
Full Name | Full Spectrum Psychotherapy, Llc |
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Speciality | Counselor - Mental Health |
Location | 7515 Wayzata Blvd, St Louis Park, Minnesota |
Authorized Official Name and Position | Gretchen Lee Bueide (OWNER) |
Authorized Official Contact | 9525442288 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Full Spectrum Psychotherapy, Llc 7515 Wayzata Blvd Suite 211 St Louis Park MN 55426-1604 Ph: (952) 544-2288 | Full Spectrum Psychotherapy, Llc 7515 Wayzata Blvd Suite 211 St Louis Park MN 55426-1604 Ph: (952) 544-2288 |
NPI Number | 1285802066 |
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Provider Enumeration Date | 02/14/2008 |
Last Update Date | 02/14/2008 |
Identifier | Type | State | Issuer |
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1285802066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | 00036 (Minnesota) | Primary |
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