Individual
ELLEN E O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
9000 QUANTRELLE AVE NE STE 102, OTSEGO, MN 55330-1029
(612) 217-0277
(612) 329-0017
Mailing address
15400 75TH CIR NE, OTSEGO, MN 55330-1036
(612) 965-8488
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3376
MN
Other
Enumeration date
08/28/2016
Last updated
01/10/2024
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