Individual
MARLYSSA THORSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPCC
Contact information
Practice address
7260 UNIVERSITY AVE NE STE 235, FRIDLEY, MN 55432-3141
(763) 572-2612
Mailing address
4818 30TH AVE S, MINNEAPOLIS, MN 55417-1306
(952) 836-6789
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2372
MN
Other
Enumeration date
02/26/2020
Last updated
11/27/2023
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