Individual
MS. REBECCA CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7415 WAYZATA BLVD, SUITE 102, ST LOUIS PARK, MN 55426
(612) 877-1081
(763) 355-5344
Mailing address
13030 12TH AVENUE NORTH, SUITE 102, PLYMOUTH, MN 55441
(612) 877-1081
(763) 355-5354
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT 1036
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
308J7CO
BLUE CROSS BLUE SHIELD
—
01
—
6Z99506
MEDICH
—
Enumeration date
11/29/2006
Last updated
07/08/2007
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