Individual
TINA WATSON WIENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
821 RAYMOND AVE, SUITE 440, SAINT PAUL, MN 55114-1503
(651) 642-9317
(651) 642-1908
Mailing address
821 RAYMOND AVE, SUITE 440, SAINT PAUL, MN 55114-1503
(651) 642-9317
(651) 642-1908
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1158
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82G45WI
BLUE CROSS BLUE SHIELD
MN
01
—
HP55646
HEALTHPARTNERS
MN
Enumeration date
10/17/2006
Last updated
07/08/2007
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