Individual
SARAH K THEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ATR, LPCC
Contact information
Practice address
1875 STATION PKWY NW, ANDOVER, MN 55304-3319
(763) 482-9598
(612) 235-6447
Mailing address
1875 STATION PKWY NW, ANDOVER, MN 55304-3319
(763) 482-9598
(612) 235-6447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC03967
MN
221700000X
Art Therapist
21-388
MN
Other
Enumeration date
08/23/2023
Last updated
09/06/2023
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