Individual
CYNTHIA KAY FOSSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC, PHD, NCC
Contact information
Practice address
2740 AMERICAN BLVD W, BLOOMINGTON, MN 55431-1203
(952) 858-8827
(952) 858-8835
Mailing address
2740 AMERICAN BLVD W, BLOOMINGTON, MN 55431-1203
(952) 858-8827
(952) 858-8835
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00051
MN
Other
Enumeration date
11/27/2009
Last updated
09/30/2013
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