Organization
SISU THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA HAGEN LMFT (THERAPIST)
(651) 243-0017
Entity
Organization
Contact information
Practice address
7029 20TH AVE, CENTERVILLE, MN 55038-9737
(651) 243-0017
Mailing address
7029 20TH AVE, CENTERVILLE, MN 55038-9737
(516) 243-0017
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
10/22/2024
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