Individual
LISA LANDEN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13603 80TH CIR N, MAPLE GROVE, MN 55369-8961
(763) 274-3120
Mailing address
16760 LUTHER WAY, EDEN PRAIRIE, MN 55346-4339
(612) 440-5152
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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