Individual
TOMASINA MARIE UTTECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 2ND ST, EXCELSIOR, MN 55331-2059
(952) 474-0227
(952) 474-0249
Mailing address
2474 DEERWOODS CT, MAYER, MN 55360-2119
(952) 235-8929
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
MN
101YP2500X
Professional Counselor
Primary
—
MN
Other
Enumeration date
02/23/2021
Last updated
08/26/2024
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