Individual
MARK HUTTEMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPP
Contact information
Practice address
3915 GOLDEN VALLEY ROAD, COURAGE CENTER, GOLDEN VALLEY, MN 55422
(763) 520-0516
Mailing address
3915 GOLDEN VALLEY ROAD, COURAGE CENTER, GOLDEN VALLEY, MN 55422
(763) 520-0516
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LPP 0117
MN
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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