Individual
MR. MARK KEVIN BELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
9623 162ND ST W, LAKEVILLE, MN 55044-7704
(952) 898-1552
Mailing address
16349 GREENBRIAR CT, LAKEVILLE, MN 55044-7704
(952) 451-9503
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1591
MN
Other
Enumeration date
11/19/2007
Last updated
05/19/2010
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