Individual
KERIN E LOGSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
1001 TWELVE OAKS CENTER DR STE 1030E, WAYZATA, MN 55391-4320
(952) 457-5704
(612) 233-0045
Mailing address
506 HOLLY CIR, WAYZATA, MN 55391-1369
(952) 457-5704
(612) 233-0045
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2489
MN
Other
Enumeration date
05/23/2011
Last updated
03/05/2021
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