Individual
CARISSA TCHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3033 EXCELSIOR BLVD STE 365, MINNEAPOLIS, MN 55416-4688
(612) 979-2276
Mailing address
3835 BALLANTRAE RD APT 10, EAGAN, MN 55122-1511
(763) 443-9537
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4511
MN
Other
Enumeration date
08/14/2023
Last updated
12/20/2024
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