Individual
THERESSA WATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
1154 GRAND AVE STE 2, SAINT PAUL, MN 55105-2628
(612) 567-4842
Mailing address
1154 GRAND AVE STE 2, SAINT PAUL, MN 55105-2628
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3553
MN
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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