Individual
MELISSA JENNIFER SUNNARBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
538 WALNUT ST, MONTICELLO, MN 55362-8663
(320) 253-3540
Mailing address
538 WALNUT ST, MONTICELLO, MN 55362-8663
(320) 253-3540
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3889
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188731327
—
MN
Enumeration date
03/22/2021
Last updated
03/22/2021
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