| Lake And Valley Family Therapy | |
|
2179 4th St Ste 2f White Bear Lake MN 55110-3041 | |
| (651) 360-1995 | |
| (651) 666-1379 |
| Full Name | Lake And Valley Family Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2179 4th St Ste 2f, White Bear Lake, Minnesota |
| Authorized Official Name and Position | Natasha Keller (OWNER) |
| Authorized Official Contact | 6513601995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake And Valley Family Therapy 2179 4th St Ste 2f White Bear Lake MN 55110-3041 Ph: (651) 360-1995 | Lake And Valley Family Therapy 2179 4th St Ste 2f White Bear Lake MN 55110-3041 Ph: (651) 360-1995 |
| NPI Number | 1578262333 |
|---|---|
| Provider Enumeration Date | 03/01/2023 |
| Last Update Date | 03/01/2023 |
| Certification Date | 03/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578262333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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