Individual
MS. TAMERA RAE MENSINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
7600 143RD ST W, SUITE 300, APPLE VALLEY, MN 55124-5528
(651) 373-9440
(866) 712-6337
Mailing address
13839 ADDISON AVE, ROSEMOUNT, MN 55068-3760
(651) 373-9440
(866) 712-6334
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2179
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124417878
NPI 2 NUMBER
—
Enumeration date
04/23/2012
Last updated
03/05/2018
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