Individual
VITALY ANA SUKOCHEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1385 MENDOTA HEIGHTS RD STE 200, MENDOTA HEIGHTS, MN 55120
(651) 379-9800
(651) 405-0358
Mailing address
1385 MENDOTA HEIGHTS RD STE 200, MENDOTA HEIGHTS, MN 55120
(651) 379-9800
(651) 405-0358
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2047
MN
Other
Enumeration date
05/16/2007
Last updated
06/11/2020
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