Individual
MICHELLE ANNE BOTHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
14663 MERCANTILE DR N, HUGO, MN 55038-4559
(612) 405-3156
Mailing address
14663 MERCANTILE DR N, HUGO, MN 55038-4559
(612) 405-3156
(651) 389-9492
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3494
MN
Other
Enumeration date
11/20/2018
Last updated
08/15/2023
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