Organization · Type 2 NPI

Ember & Shore Therapy PLLC

Marriage & Family Therapist · Blaine, MN

NPI number 1336094309 Active

Practice location

12760 Aberdeen St NE Ste 102
Blaine, MN 55449-5845

Mailing address

5123 County Road 6 NW
Dalbo, MN 55017-8305

Specialties and licenses

TaxonomyCodeLicense
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 1336094309

Ember & Shore Therapy PLLC's National Provider Identifier is 1336094309, issued on Mar 3, 2026. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Blaine, MN. The record was last updated on Aug 24, 2026.