Organization
MARRIAGE & FAMILY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONG LOR M.S., L.M.F.T. (LICENSED THERAPIST)
(651) 246-4722
Entity
Organization
Contact information
Practice address
379 UNIVERSITY AVE W STE 201, SAINT PAUL, MN 55103-2060
(651) 246-4722
Mailing address
379 UNIVERSITY AVE W STE 201, SAINT PAUL, MN 55103-2060
(651) 246-4722
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1286
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7637793
—
MN
Enumeration date
05/16/2007
Last updated
08/22/2020
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