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Matthew Thiede
Mental Health Counselor in Maple Grove, Minnesota
NPI 1164015384

Matthew Thiede is a Mental Health Counselor based in Maple Grove, MN and is specialized in Mental Health. Matthew Thiede practices in Maple Grove, MN. The NPI Number for Matthew Thiede is 1164015384 and holds a License No. (Minnesota).

The current practice location address for Matthew Thiede is 12918 63Rd Ave N, Maple Grove, MN and can be reached out via phone at 763-210-9966.

Location: 12918 63Rd Ave N, Maple Grove, MN, 55369-6001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164015384
Provider Name
Matthew Thiede
Credential
Provider Entity Type
Individual
Gender
Male
Address
12918 63Rd Ave N, Maple Grove, MN, 55369-6001
Phone Number
763-210-9966
Fax Number
Provider Enumeration Date
02/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12918 63Rd Ave N
City
Maple Grove
State
Minnesota
Zip
55369-6001
Phone Number
763-210-9966
Fax Number
person
Provider Business Mailing Address Details
Address
12918 63Rd Ave N
City
Maple Grove
State
Minnesota
Zip
55369-6001
Phone Number
763-210-9966
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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