Individual
LYNN VAN BLARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4655 NICOLS RD, STE 206, EAGAN, MN 55122-3425
(612) 747-2402
(651) 578-6702
Mailing address
4655 NICHOLS RD, STE 206, EAGAN, MN 55122
(612) 747-2402
(651) 578-6702
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1426
MN
Other
Enumeration date
10/16/2006
Last updated
07/09/2007
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