Individual
MICHAEL FRIESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 W MAIN ST, WACONIA, MN 55387-1023
(855) 454-2463
Mailing address
759 KIRCHE HILL DR, CARVER, MN 55315-9302
(952) 356-7177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MN
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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