Individual
TARA LEMKE EBENHOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1678 SELBY AVE OFC, SAINT PAUL, MN 55104
(763) 228-4752
Mailing address
6043 HUDSON RD, SUITE 220, WOODBURY, MN 55125-1018
(651) 200-6092
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1939
MN
Other
Enumeration date
09/10/2010
Last updated
08/21/2018
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