Organization
KIM SURVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SURVE MA LMFT (MANAGER)
(612) 396-8305
Entity
Organization
Contact information
Practice address
900 LONG LAKE RD STE 320, NEW BRIGHTON, MN 55112-6439
(651) 482-9361
Mailing address
786 CANNON AVE, SHOREVIEW, MN 55126-3827
(612) 396-8305
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/03/2020
Last updated
03/04/2020
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