Individual
MS. AMANDA L REDEPENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.M.F.T.
Contact information
Practice address
11334 86TH AVE N, MAPLE GROVE, MN 55369-4528
(763) 255-2125
(763) 255-2126
Mailing address
2315 CLINTON AVE APT 4, MINNEAPOLIS, MN 55404-3660
(612) 709-3506
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1945
MN
Other
Enumeration date
12/20/2010
Last updated
07/31/2011
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