Individual
MRS. MICHELLE LIBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMFT
Contact information
Practice address
5009 EXCELSIOR BLVD, SUITE 102, ST LOUIS PARK, MN 55416-3041
(952) 848-0773
Mailing address
5009 EXCELSIOR BLVD, SUITE 102, ST LOUIS PARK, MN 55416-3041
(952) 848-0773
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1034
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038R9LI
BCBS PROVIDER NUMBER
MN
Enumeration date
05/06/2007
Last updated
07/08/2007
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