Individual
SUSAN M. R. NIENABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
516 MISSION HOUSE LN, NEW BRIGHTON, MN 55112-2571
(651) 636-5120
Mailing address
13040 BLUEBIRD ST NW, COON RAPIDS, MN 55448-4031
(763) 913-9505
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
988
MN
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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