Individual
TANYA MARTHA KUBISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LMFT
Contact information
Practice address
207 1ST ST NW, CROSBY, MN 56441-1301
(218) 585-2052
Mailing address
15157 LADYSLIPPER LANE, DEERWOOD, MN 56444-8918
(218) 825-1021
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2613
MN
Other
Enumeration date
01/26/2015
Last updated
05/10/2024
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