Individual
BARBARA JEAN TOLLEFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LP
Contact information
Practice address
261 E BROADWAY ST, MONTICELLO, MN 55362-9317
(763) 295-3207
(763) 295-6666
Mailing address
PO BOX 546, 261 E BROADWAY, MONTICELLO, MN 55362-0546
(763) 295-3207
(763) 295-6666
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2285
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110707
UCARE
MN
01
—
333J4TO
BCBS
MN
01
—
333J5TO
INDIV BCBS NUMBER
MN
01
—
6234967
UBH
MN
Enumeration date
11/29/2006
Last updated
07/08/2007
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