| Tina Watson Therapy | |
|
9393 55th St N Lake Elmo MN 55042-8505 | |
| (651) 283-4153 | |
| Not Available |
| Full Name | Tina Watson Therapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9393 55th St N, Lake Elmo, Minnesota |
| Authorized Official Name and Position | Tina R Wiens (OWNER) |
| Authorized Official Contact | 6512834153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Watson Therapy 9393 55th St N Lake Elmo MN 55042-8505 Ph: (651) 283-4153 | Tina Watson Therapy 9393 55th St N Lake Elmo MN 55042-8505 Ph: (651) 283-4153 |
| NPI Number | 1023723004 |
|---|---|
| Provider Enumeration Date | 01/13/2023 |
| Last Update Date | 01/13/2023 |
| Certification Date | 01/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023723004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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