Individual
JULISA A DUENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414
(612) 331-9413
(612) 728-5301
Mailing address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 331-9413
(612) 728-5301
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10567
NE
103T00000X
Psychologist
Primary
0082
MN
103T00000X
Psychologist
10125
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026139700
—
NE
05
—
47037660624
—
NE
05
—
47037660631
—
NE
Enumeration date
07/07/2015
Last updated
07/29/2018
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