Organization
JUPITER CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KINZER LMFT (OWNER)
(612) 701-0064
Entity
Organization
Contact information
Practice address
2124 DUPONT AVE S, SUITE G1, MINNEAPOLIS, MN 55405-2700
(612) 701-0064
(612) 605-3283
Mailing address
2124 DUPONT AVE S, SUITE G1, MINNEAPOLIS, MN 55405-2700
(612) 701-0064
(612) 605-3283
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1575
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
538977000
—
MN
Enumeration date
08/14/2009
Last updated
04/05/2017
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