Individual
JOANNE MARIE HARSTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMFT
Contact information
Practice address
20083 226TH AVE NW, BIG LAKE, MN 55309
(651) 353-5453
Mailing address
20083 226TH AVE NW, BIG LAKE, MN 55309
(651) 353-5453
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1100
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106623400
MEDICAL ASSISTANCE
MN
Enumeration date
09/20/2006
Last updated
11/17/2021
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