Individual
TERESA KLEINSCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.M.F.T.
Contact information
Practice address
1665 UTICA AVE S STE 100, ST LOUIS PARK, MN 55416-3476
(952) 541-2500
Mailing address
314 CLIFTON AVE, SUITE 305, MINNEAPOLIS, MN 55403-3235
(612) 702-1238
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1144
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167719500
—
MN
01
—
507T3KL
BCBS INDIVIDAUL #
MN
01
—
508T2TE
BCBS GROUP
MN
Enumeration date
12/20/2005
Last updated
06/30/2023
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