Individual
JULI DIANE TEIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5960 TOWN HALL DRIVE, GREENFIELD, MN 55357
(952) 210-7645
Mailing address
5960 TOWN HALL DRIVE, GREENFIELD, MN 55357
(952) 210-7645
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1283
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191P4MO
BC/BS MN
MN
01
—
872983200
MHCP
MN
Enumeration date
10/25/2006
Last updated
09/01/2021
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