Individual provider · Type 1 NPI

Nicky Diane Bredeson, LICSW LMFT

Marriage & Family Therapist · Edina, MN

NPI number 1487717344 Active

Practice location

4005 West 65th St, #108
Edina, MN 55435-1700

Fax (952) 929-0022

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker	1041C0700X	L.I.C.S.W. 257 (MN)
Marriage & Family Therapist Primary	106H00000X	L.M.F.T.564 (MN)

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 1487717344

Nicky Diane Bredeson, LICSW LMFT's National Provider Identifier is 1487717344, issued on Dec 19, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Edina, MN. The record was last updated on Sep 11, 2025.