Individual
KRISTA JO DORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
2217 VINE STREET #206, HUDSON, WI 55001
(651) 998-4048
Mailing address
4723 PARSONS COURT SOUTH, AFTON, MN 55001
(612) 501-4228
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1155-124
WI
106H00000X
Marriage & Family Therapist
2809
MN
Other
Enumeration date
09/04/2017
Last updated
09/04/2017
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