Individual
ALEXANDRIA TULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
760 STILLWATER RD UNIT 101, MAHTOMEDI, MN 55115-2060
(763) 360-0554
Mailing address
1957 168TH AVE NE, HAM LAKE, MN 55304-5417
(763) 360-0554
(763) 360-0554
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4685
MN
Other
Enumeration date
09/24/2024
Last updated
09/25/2024
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