Organization
FULL SPECTRUM PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN LEE BUEIDE MA, LPC, CEAP (OWNER)
(952) 544-2288
Entity
Organization
Contact information
Practice address
7515 WAYZATA BLVD, SUITE 211, ST LOUIS PARK, MN 55426-1604
(952) 544-2288
Mailing address
7515 WAYZATA BLVD, SUITE 211, ST LOUIS PARK, MN 55426-1604
(952) 544-2288
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00036
MN
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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