Individual
CHRISTENA MARIE HERMANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
10425 40TH AVE N, PLYMOUTH, MN 55441-1529
(612) 865-1169
Mailing address
10425 40TH AVE N, PLYMOUTH, MN 55441-1529
(612) 865-1169
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1606
MN
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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