Individual
ILISE KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LAMFT
Contact information
Practice address
13100 WAYZATA BLVD, SUITE 400, MINNETONKA, MN 55305-1802
(952) 546-0616
(952) 573-1778
Mailing address
11511 PARK RIDGE DR W, MINNETONKA, MN 55305-2555
(952) 546-0000
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LAMFT 1364
MN
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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