Individual
FAITHE PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHP
Contact information
Practice address
9600 UPLAND LN N STE 110, MAPLE GROVE, MN 55369-4499
(952) 993-6200
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4494
MN
101YM0800X
Mental Health Counselor
5824
NE
Other
Enumeration date
08/04/2022
Last updated
10/09/2024
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