Individual
GARY P MUCHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
3460 WASHINGTON DRIVE, SUITE 200, EAGAN, MN 55122-1338
(651) 769-6200
(651) 769-6249
Mailing address
2497 7TH AVE E, SUITE 101 BHSI LLC, NORTH ST PAUL, MN 55109-2496
(651) 769-6437
(651) 769-6426
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
861
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166820000
—
MN
Enumeration date
09/25/2006
Last updated
02/08/2010
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