Organization
FOUNDATIONS FAMILY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE KLEMZ WOLFSON LMFT (OWNER)
(612) 382-8651
Entity
Organization
Contact information
Practice address
14041 BURNHAVEN DR STE 112, BURNSVILLE, MN 55337-4450
(612) 382-8651
(952) 487-1234
Mailing address
14041 BURNHAVEN DR STE 112, BURNSVILLE, MN 55337-4450
(612) 382-8651
(952) 487-1234
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
1473
MN
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1473
MN
Other
Enumeration date
01/16/2012
Last updated
05/30/2017
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