Organization
LACUNA FOR INTEGRATIVE THERAPIES
Active
Other names
Joshua M Kent, Licsw
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA M KENT (LICSW)
(651) 264-0260
Entity
Organization
Contact information
Practice address
5009 EXCELSIOR BLVD, SUITE 134, ST. LOUIS PARK, MN 55416
(612) 360-5685
(952) 285-4103
Mailing address
5009 EXCELSIOR BLVD, SUITE 134, ST. LOUIS PARK, MN 55416
(612) 360-5685
(952) 285-4103
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
15118
MN
2084P0800X
Psychiatry Physician
15118
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
607649100
—
MN
Enumeration date
03/07/2007
Last updated
08/28/2008
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