Individual
BECKY COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1726 7TH AVE S, SAINT CLOUD, MN 56301-5711
(320) 650-1500
Mailing address
PO BOX 2390, SAINT CLOUD, MN 56302-2390
(320) 650-1544
(320) 650-1510
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1503
MN
Other
Enumeration date
03/29/2011
Last updated
03/31/2011
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