The Minnesota Center for Couples and Family Therapy, LLC
NPI #1093061301 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1093061301
- Entity Type
- Organization
- Organization Name
- The Minnesota Center for Couples and Family Therapy, LLC
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Jul 24, 2012
- Last Updated
- Jul 24, 2012
Practice Location
- Address
- 1120 E 80TH ST
- Address 2
- SUITE 200
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55420-1462
- Phone
- (952) 767-0442
Authorized Official
- Name
- DR. ROGER A BALLOU, PHD, LMFT
- Title
- CO-OWNER
- Phone
- (651) 246-7592
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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