Individual
MARY LOU HONSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Contact information
Practice address
516 MISSION HOUSE LN, NEW BRIGHTON, MN 55112-2571
(651) 636-5120
(651) 636-5124
Mailing address
516 MISSION HOUSE LN, NEW BRIGHTON, MN 55112-2571
(651) 636-5120
(651) 636-5124
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP0816
MN
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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