Individual
ALAINE AYSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3259 COUNTY ROAD 8 SE, SAINT CLOUD, MN 56304-8526
(320) 259-1871
Mailing address
3259 COUNTY ROAD 8 SE, SAINT CLOUD, MN 56304-8526
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1404
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81G34AY
BLUE CROSS/BLUE SHIELD
MN
Enumeration date
11/04/2006
Last updated
07/09/2007
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