Individual
MARIAH LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2388 UNIVERSITY AVE W # 202, SAINT PAUL, MN 55114-1769
(612) 351-2260
(651) 300-2702
Mailing address
391 GRAND AVE APT 307, SAINT PAUL, MN 55102-2630
(920) 296-2955
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
MN
106H00000X
Marriage & Family Therapist
Primary
4578
MN
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/04/2022
Last updated
04/17/2025
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