Organization
NEW FAMILY BEGINNINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KALLI KAY MATSUHASHI MA (OWNER/PRESIDENT)
(651) 882-6234
Entity
Organization
Contact information
Practice address
4660 SLATER RD., SUITE 245A, EAGAN, MN 55122
(651) 882-6234
Mailing address
4660 SLATER RD., SUITE 245A, EAGAN, MN 55122
(651) 882-6234
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
00163
MN
103T00000X
Psychologist
Primary
5196
MN
106H00000X
Marriage & Family Therapist
2292
MN
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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