Individual
RENEE DIVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, CST
Contact information
Practice address
410 E 48TH ST STE 1, MINNEAPOLIS, MN 55419-5651
(612) 323-7222
Mailing address
410 E 48TH ST STE 1, MINNEAPOLIS, MN 55419-5651
(612) 323-7222
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2725
MN
Other
Enumeration date
04/07/2015
Last updated
10/22/2019
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