Individual
TRISHA R. WITMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. LMFT
Contact information
Practice address
5407 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-2929
(922) 161-2283
Mailing address
6490 OXFORD PL, SHAKOPEE, MN 55379-7063
(612) 807-3723
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4531
MN
235Z00000X
Speech-Language Pathologist
5928
MN
Other
Enumeration date
12/17/2006
Last updated
11/12/2024
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