Individual provider · Type 1 NPI
Mary Theresa Swenson, EDD
Mental Health Counselor · Ham Lake, MN
NPI number
1093128233
Active
Practice location
13750 Crosstown Dr Phase II, Suite 207
Ham Lake, MN 55304-2664
Mailing address
13750 Crosstown Dr NW, Molly Professional Center Phase II Suite 207
Andover, MN 55304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 00808 (MN) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Ham Lake
About NPI 1093128233
Mary Theresa Swenson, EDD's National Provider Identifier is 1093128233, issued on Jun 5, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ham Lake, MN. The record was last updated on Dec 1, 2014.