Individual
MR. JASON R THARALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. LMFT
Contact information
Practice address
14551 JUDICIAL RD STE 100, BURNSVILLE, MN 55306-4991
(952) 898-5020
Mailing address
9030 HIGH POINT CIR, EDEN PRAIRIE, MN 55347-2029
(952) 491-1400
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2395
MN
Other
Enumeration date
03/18/2013
Last updated
03/14/2022
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