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Individual

DR. JOHN ARMEN DESTEIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
JD, DPSY

Contact information

Practice address
950 SAINT CLAIR AVE, SAINT PAUL, MN 55105-3214
(651) 293-1684
(651) 293-1562
Mailing address
950 SAINT CLAIR AVE, SAINT PAUL, MN 55105-3214
(651) 293-1684
(651) 293-1562

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP0485
MN
103TF0000X
Family Psychologist
Primary
LP0485
MN
103TP0814X
Psychoanalysis Psychologist
LP0485
MN
103TP2701X
Group Psychotherapy Psychologist
LP0485
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24123DE
BLUECROSS&BLUE SHIELD
MN
Enumeration date
08/07/2006
Last updated
09/11/2025
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