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Organization
THE MINNESOTA CENTER FOR COUPLES AND FAMILY THERAPY, LLC
Active
Organization
THE MINNESOTA CENTER FOR COUPLES AND FAMILY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER A BALLOU PHD, LMFT (CO-OWNER)
(651) 246-7592
Entity
Organization
Contact information
Practice address
1120 E 80TH ST, SUITE 200, BLOOMINGTON, MN 55420-1462
(952) 767-0442
Mailing address
1120 E 80TH ST, SUITE 200, BLOOMINGTON, MN 55420-1462
(952) 767-0442
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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