Individual
ALEXA JORDAN TENNYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
812 E 48TH ST STE 7, MINNEAPOLIS, MN 55417-1067
(612) 293-6993
Mailing address
2735 FREMONT AVE S APT 2, MINNEAPOLIS, MN 55408-1124
(952) 237-9130
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3450
MN
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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