| Sisu Therapy, Pllc | |
|
7029 20th Ave Centerville MN 55038-9737 | |
| (651) 243-0017 | |
| Not Available |
| Full Name | Sisu Therapy, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 7029 20th Ave, Centerville, Minnesota |
| Authorized Official Name and Position | Jessica Hagen (THERAPIST) |
| Authorized Official Contact | 6512430017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sisu Therapy, Pllc 7029 20th Ave Centerville MN 55038-9737 Ph: (516) 243-0017 | Sisu Therapy, Pllc 7029 20th Ave Centerville MN 55038-9737 Ph: (651) 243-0017 |
| NPI Number | 1376391219 |
|---|---|
| Provider Enumeration Date | 05/07/2024 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376391219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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