Individual
DARCI WITASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LMFT
Contact information
Practice address
7600 BOONE AVE N STE 2, BROOKLYN PARK, MN 55428-1089
(763) 550-3193
Mailing address
7600 BOONE AVE N STE 2, BROOKLYN PARK, MN 55428-1089
(763) 550-3193
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2914
MN
Other
Enumeration date
10/15/2010
Last updated
08/04/2014
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