Individual
SALLY MICHAEL FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
8120 PENN AVE S STE 400, MINNEAPOLIS, MN 55431-1311
(800) 336-5973
(612) 234-4689
Mailing address
8120 PENN AVE S STE 400, BLOOMINGTON, MN 55431-1311
(800) 336-5973
(612) 234-4689
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC01094
MN
106H00000X
Marriage & Family Therapist
IMF 53265
CA
Other
Enumeration date
07/16/2007
Last updated
10/29/2019
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