Organization
DBT AND EMDR SPECIALISTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE FUCHS (CEO)
(904) 605-4986
Entity
Organization
Contact information
Practice address
19377 UPLAND ST NW, ELK RIVER, MN 55330-4140
(612) 237-7341
Mailing address
19377 UPLAND ST NW, ELK RIVER, MN 55330-4140
(612) 237-7341
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CC291 LPCC
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245520048
NPIJENNIFER KLUTCH
MN
Enumeration date
03/09/2015
Last updated
08/18/2023
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