Individual
TAI J MENDENHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT, PHD
Contact information
Practice address
1414 MARYLAND AVE E, SAINT PAUL, MN 55106-2824
(651) 772-3461
(651) 772-2605
Mailing address
1414 MARYLAND AVE E, SAINT PAUL, MN 55106-2824
(651) 772-3461
(651) 772-2605
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1318
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026
TRIWEST
MN
01
—
1042738
PREFERRED ONE
MN
01
—
124040
UCARE
MN
01
—
270K3ME
BCBS MN NUMBER
MN
01
—
62-53752
UBH/MEDICA NUMBER
MN
01
—
HP42677
HEALTHPARTNERS
MN
Enumeration date
08/23/2006
Last updated
07/09/2007
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