Organization
FULL CIRCLE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN S LOMPART MA, LMFT (MARRIAGE AND FAMILY THERAPIST)
(952) 892-8404
Entity
Organization
Contact information
Practice address
1500 MCANDREWS RD W, SUITE 230, BURNSVILLE, MN 55337-4432
(952) 892-8404
(952) 892-1722
Mailing address
1500 MCANDREWS RD W, SUITE 230, BURNSVILLE, MN 55337-4432
(952) 892-8404
(952) 892-1722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1140
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
513690300
—
MN
01
—
99G54FU
BLUE CROSS BLUE SHIELD
MN
Enumeration date
01/15/2009
Last updated
01/15/2009
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