Individual
DR. MELANIE NATASHA GABRIELLE HULTGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LMFT
Contact information
Practice address
12800 WHITEWATER DR STE 100, MINNETONKA, MN 55343-9347
(763) 306-9057
Mailing address
12800 WHITEWATER DR STE 100, MINNETONKA, MN 55343-9347
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2456
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780128306
NPI I
MN
Enumeration date
12/16/2016
Last updated
06/07/2021
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