Individual
MICHELLE VAN RYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
6808 GLEASON RD, EDINA, MN 55439-1601
(612) 520-1830
Mailing address
6808 GLEASON RD, EDINA, MN 55439-1601
(612) 520-1830
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2318
MN
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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