Organization
ELLISON CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA J SCHREIFELS MS LMFT IMH-E (THERAPIST)
(320) 406-1600
Entity
Organization
Contact information
Practice address
600 25TH AVE S STE 102, SAINT CLOUD, MN 56301-4820
(320) 406-1600
(320) 406-1700
Mailing address
600 25TH AVE S STE 102, SAINT CLOUD, MN 56301-4820
(320) 406-1600
(320) 406-1700
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740744242
—
MN
Enumeration date
01/29/2019
Last updated
11/05/2020
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