Organization
PINECONE FAMILY COUNSELING, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOROTHY THERESE SOUKUP PH.D., LP (PSYCHOLOGIST/OWNER)
(320) 253-2385
Entity
Organization
Contact information
Practice address
2385 TROOP DR., SUITE 202, SARTELL, MN 56377
(320) 253-2385
(320) 253-2386
Mailing address
2385 TROOP DR., SUITE 202, SARTELL, MN 56377
(320) 253-2385
(320) 253-2386
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3278
MN
Other
Enumeration date
02/20/2008
Last updated
09/08/2017
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