Individual provider · Type 1 NPI

Samuel Joseph Egertson

Marriage & Family Therapist · St. Louis Park, MN

NPI number 1053885756 Active

Practice location

5407 Excelsior Blvd Ste B
St. Louis Park, MN 55416-2932

Call (612) 787-2832 Map

Mailing address

1211 James Ave
St. Paul, MN 55105-2920

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X2018038889 (MO)
Marriage & Family Therapist Primary 106H00000XNone listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1053885756

Samuel Joseph Egertson's National Provider Identifier is 1053885756, issued on Jan 15, 2019. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Jun 15, 2021.