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Arisa Koyama Lyseng
Mental Health Counselor in Eagan, Minnesota
NPI 1548810260

Arisa Koyama Lyseng is a Mental Health Counselor based in Eagan, MN and is specialized in Mental Health. Arisa Koyama Lyseng practices in Eagan, MN. The NPI Number for Arisa Koyama Lyseng is 1548810260 and holds a License No. CC03768 (Minnesota).

The current practice location address for Arisa Koyama Lyseng is 4660 Slater Rd Ste 120, Eagan, MN and can be reached out via phone at 612-441-3255.

Location: 4660 Slater Rd Ste 120, Eagan, MN, 55122-4048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548810260
Provider Name
Arisa Koyama Lyseng
Credential
Provider Entity Type
Individual
Gender
Female
Address
4660 Slater Rd Ste 120, Eagan, MN, 55122-4048
Phone Number
612-441-3255
Fax Number
Provider Enumeration Date
09/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4660 Slater Rd Ste 120
City
Eagan
State
Minnesota
Zip
55122-4048
Phone Number
612-441-3255
Fax Number
person
Provider Business Mailing Address Details
Address
4660 Slater Rd Ste 120
City
Eagan
State
Minnesota
Zip
55122-4048
Phone Number
612-441-3255
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CC03768 (Minnesota)
Definition
Definition to come...
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