Individual
CHRISTINE JAYNE HARNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
220 RAILROAD ST SE, PINE CITY, MN 55063-1540
(320) 629-7600
(651) 250-0071
Mailing address
4363 BUCKINGHAM CT, VADNAIS HEIGHTS, MN 55127-3682
(651) 429-0783
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0643
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
518320100
—
MN
Enumeration date
05/18/2006
Last updated
01/11/2021
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