# FAMILY PROSPECTIVE RESOURCES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336367242
- **Authorized official:** JILL M THARALDSON (OFFICE MANAGER)
- **Authorized official phone:** (763) 263-7896

## Contact information

- **Practice address:** 35 LAKE ST SO, BIG LAKE, MN 55309
- **Practice address phone:** (763) 263-7896
- **Practice address fax:** (763) 263-7897
- **Mailing address:** 35 LAKE ST SO, PO BOX 3, BIG LAKE, MN 55309
- **Mailing address phone:** (763) 263-7896
- **Mailing address fax:** (763) 263-7897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 08/22/2020