Individual
ELISE M BLAHNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
721 COMMERCE DRIVE, WOODBURY, MN 55125
(651) 424-4012
Mailing address
2400 W 64TH ST, MINNEAPOLIS, MN 55423-1001
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3810
MN
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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