| Judi Ross Holistic Therapy, Llc | |
|
4141 Old Sibley Memorial Highway Eagan MN 55122 | |
| (612) 314-6012 | |
| (651) 882-6280 |
| Full Name | Judi Ross Holistic Therapy, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4141 Old Sibley Memorial Highway, Eagan, Minnesota |
| Authorized Official Name and Position | Judith L Ross (MS, LMFT, RYT-200) |
| Authorized Official Contact | 5073823167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Judi Ross Holistic Therapy, Llc 6607 18th Ave S Ste 201 Richfield MN 55423-2700 Ph: (612) 314-6012 | Judi Ross Holistic Therapy, Llc 4141 Old Sibley Memorial Highway Eagan MN 55122 Ph: (612) 314-6012 |
| NPI Number | 1528451028 |
|---|---|
| Provider Enumeration Date | 03/09/2015 |
| Last Update Date | 05/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528451028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 2534 (Minnesota) | Primary |
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