| Relationship Therapy Center Pc | |
|
5407 Excelsior Boulevard Suite B Saint Louis Park MN 55416-2932 | |
| (612) 787-2832 | |
| (952) 920-9323 |
| Full Name | Relationship Therapy Center Pc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5407 Excelsior Boulevard, Saint Louis Park, Minnesota |
| Authorized Official Name and Position | Deeetta Marie Juve (BILLING ASSOCIATE) |
| Authorized Official Contact | 6125581699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Relationship Therapy Center Pc 5407 Excelsior Boulevard Suite B Saint Louis Park MN 55416-2932 Ph: (612) 787-2832 | Relationship Therapy Center Pc 5407 Excelsior Boulevard Suite B Saint Louis Park MN 55416-2932 Ph: (612) 787-2832 |
| NPI Number | 1376687285 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 09/11/2024 |
| Certification Date | 09/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376687285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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