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Individual

TESSA M HORSTMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPCC

Contact information

Practice address
860 BLUE GENTIAN RD STE 200, EAGAN, MN 55121-1567
(612) 208-3807
Mailing address
PO BOX 1173, LAKEVILLE, MN 55044-1173

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2621
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
261
BOARD OF BEHAVIORAL HEALTH AND THERAPY
MN
Enumeration date
10/06/2020
Last updated
08/02/2022
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