Individual
SAMANTHA COLAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, RPT, SEP
Contact information
Practice address
21307 JOHN MILLESS DRIVE, SUITE 106, ROGERS, MN 55374
(612) 406-4083
Mailing address
3458 SHERIDAN AVE N, MINNEAPOLIS, MN 55412-2246
(651) 328-3423
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3107
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255722328
NPI I
MN
01
—
1295292753
NPI II
MN
Enumeration date
02/11/2015
Last updated
12/04/2019
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