Organization
JUDI ROSS HOLISTIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH L ROSS (MS, LMFT, RYT-200)
(507) 382-3167
Entity
Organization
Contact information
Practice address
4141 OLD SIBLEY MEMORIAL HIGHWAY, EAGAN, MN 55122
(612) 314-6012
(651) 882-6280
Mailing address
6607 18TH AVE S STE 201, RICHFIELD, MN 55423-2700
(612) 314-6012
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2534
MN
Other
Enumeration date
03/09/2015
Last updated
05/12/2016
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