Individual
SAMANNTHA MOUACHEUPAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
8401 WAYZATA BLVD STE 340, GOLDEN VALLEY, MN 55426-1365
(763) 566-0088
(763) 566-0089
Mailing address
8401 WAYZATA BLVD STE 340, GOLDEN VALLEY, MN 55426-1365
(763) 566-0088
(763) 566-0089
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4318
MN
Other
Enumeration date
06/07/2023
Last updated
06/16/2023
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