Individual
MS. BECKY S DORNBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LMFT
Contact information
Practice address
325 33RD AVE N STE 103, SAINT CLOUD, MN 56303-1929
(320) 253-3715
(320) 252-2567
Mailing address
325 33RD AVE N STE 103, SAINT CLOUD, MN 56303-1929
(320) 253-3715
(320) 252-2567
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1423
MN
Other
Enumeration date
07/10/2006
Last updated
03/01/2018
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