Individual
JOAN ESTREM WEIDLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7575 GOLDEN VALLEY RD, SUITE 230, GOLDEN VALLEY, MN 55427-4562
(763) 525-8590
(763) 525-8592
Mailing address
7575 GOLDEN VALLEY RD, SUITE 230, GOLDEN VALLEY, MN 55427-4562
(763) 525-8590
(763) 525-8592
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
1072
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
467432400
—
MN
Enumeration date
08/26/2005
Last updated
08/11/2015
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