Organization
TINA WATSON THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA R WIENS (OWNER)
(651) 283-4153
Entity
Organization
Contact information
Practice address
9393 55TH ST N, LAKE ELMO, MN 55042-8505
(651) 283-4153
Mailing address
9393 55TH ST N, LAKE ELMO, MN 55042-8505
(651) 283-4153
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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