person
Dr. Mary Theresa Swenson, EDD
Mental Health Counselor in Ham Lake, Minnesota
NPI 1093128233

Mary Theresa Swenson is a Mental Health Counselor based in Andover, MN and is specialized in Mental Health. Mary Theresa Swenson practices in Ham Lake, MN and has the professional credentials of EDD. The NPI Number for Mary Theresa Swenson is 1093128233 and holds a License No. 00808 (Minnesota).

The current practice location address for Mary Theresa Swenson is 13750 Crosstown Dr Phase Ii, Ham Lake, MN and can be reached out via phone at 763-413-6971.

Location: 13750 Crosstown Dr Phase Ii, Ham Lake, MN, 55304
person
Provider Profile Details
NPI Number
1093128233
Provider Name
Mary Theresa Swenson
Credential
EDD
Provider Entity Type
Individual
Gender
Female
Address
13750 Crosstown Dr Phase Ii, Ham Lake, MN, 55304
Phone Number
763-413-6971
Fax Number
Provider Enumeration Date
06/05/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01405 01 MN STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
13750 Crosstown Dr Phase Ii
City
State
Zip
55304-2664
Phone Number
763-413-6971
Fax Number
person
Provider Business Mailing Address Details
Address
13750 Crosstown Dr Phase Ii
City
State
Zip
55304-2664
Phone Number
763-413-6971
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
00808 (Minnesota)
Definition
Definition to come...
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