Individual
DR. ERIC MICHAEL MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
3012 W 44TH ST, MINNEAPOLIS, MN 55410-1553
(612) 618-0922
Mailing address
3012 W 44TH ST, MINNEAPOLIS, MN 55410-1553
(612) 618-0922
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP7005
MN
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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