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Individual

LORI EKHOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
7101 YORK AVE S STE 317, EDINA, MN 55435-4469
(763) 703-4215
Mailing address
6801 14TH AVE S, RICHFIELD, MN 55423-2652
(612) 245-2032
(651) 925-0610

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1382
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
098162100
MN
01
113354C154
UCARE
MN
01
599K4HO
BCBS
MN
01
HP58821
HEALTHPARTNERS
MN
Enumeration date
11/15/2006
Last updated
01/22/2023
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