Individual
MS. CARISSA MEHITABEL KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
9800 SHELARD PKWY STE 115, PLYMOUTH, MN 55441-6411
(612) 547-8554
(763) 432-6001
Mailing address
9800 SHELARD PKWY STE 115, PLYMOUTH, MN 55441-6411
(612) 547-8554
(763) 432-6001
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3236
MN
Other
Enumeration date
07/18/2019
Last updated
12/29/2021
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