Organization
WILD TREE PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN ROBBINS (OWNER)
(612) 965-2622
Entity
Organization
Contact information
Practice address
1061 GRAND AVE, SAINT PAUL, MN 55105-3002
(763) 212-4920
Mailing address
1061 GRAND AVE, SAINT PAUL, MN 55105-3002
(763) 212-4920
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1287
MN
251S00000X
Community/Behavioral Health Agency
303202
MN
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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