Organization
FAMILY THERAPY RESOURCES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDY TIESEL (PRESIDENT)
(952) 835-6950
Entity
Organization
Contact information
Practice address
7400 METRO BLVD, SUITE 413, EDINA, MN 55439-2316
(952) 835-6950
(952) 835-0072
Mailing address
7400 METRO BLVD, SUITE 413, EDINA, MN 55439-2316
(952) 835-6950
(952) 835-0072
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3280
MN
103TF0000X
Family Psychologist
3280
MN
1041C0700X
Clinical Social Worker
2929
MN
106H00000X
Marriage & Family Therapist
870
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8H297YA
BCBS
MN
Enumeration date
01/23/2007
Last updated
09/11/2025
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