Individual
MRS. ALLYSON HANSON BERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
670 NORTH ROBERT STREET, ST. PAUL, MN 55101
(651) 224-1329
(651) 224-6520
Mailing address
4666 PENKWE WAY, EAGAN, MN 55122-2752
(651) 330-0883
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
169379
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169379
IAPSRS
MN
05
—
448998500
—
MN
Enumeration date
01/19/2007
Last updated
11/03/2011
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