Individual
MRS. LISA MARIE RUTFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
6550 YORK AVE S STE 503, EDINA, MN 55435-2336
(952) 426-3034
Mailing address
3531 10TH AVE S UNIT 2, MINNEAPOLIS, MN 55407-2115
(847) 293-9649
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC01825
MN
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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