Lara Derksen, MA
NPI #1467204305 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1467204305
- Entity Type
- Individual
- Name
- Lara Derksen, MA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- MA
- Enumeration Date
- Apr 3, 2024
- Last Updated
- Apr 3, 2024
Practice Location
- Address
- 3800 AMERICAN BLVD W STE 740
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55431-4422
- Phone
- (612) 925-8365
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
| Counselor |
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