Organization
THE FAMILY DEVELOPMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALYSSA WRIGHT MA, LMFT (CO-OWNER)
(612) 799-0862
Entity
Organization
Contact information
Practice address
475 CLEVELAND AVE N, SUITE 316, SAINT PAUL, MN 55104-5031
(612) 799-0862
Mailing address
475 CLEVELAND AVE N, SUITE 316, SAINT PAUL, MN 55104-5031
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1539
MN
106H00000X
Marriage & Family Therapist
1978
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067948800
—
MN
Enumeration date
12/04/2013
Last updated
12/04/2013
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