Organization
DBT ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE MARIE GRESHAM ARNP (MANAGING PARTNER)
(763) 503-3981
Entity
Organization
Contact information
Practice address
7362 UNIVERSITY AVE NE, SUITE 101, FRIDLEY, MN 55432-3142
(763) 503-3981
(763) 503-3981
Mailing address
7362 UNIVERSITY AVE NE, SUITE 101, FRIDLEY, MN 55432-3142
(763) 503-3981
(763) 503-3981
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007014900
—
MN
01
—
07F28DI
BLUE CROSS
MN
01
—
8G624DI
BLUE CROSS
MN
Enumeration date
07/12/2006
Last updated
05/13/2008
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