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
—
—
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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