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General NPI Number Information
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NPI Number | 1003319203
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Entity Type | Organization
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Legal Business Name | KORI HENNESSY, MA, LMFT PA
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 4 E 43RD ST STE 201
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City | MINNEAPOLIS
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State | MN
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Zip | 55409-2018
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Country | US
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Telephone | 763-342-0104
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Fax |
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Provider Business Mailing Address
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Address Line | 3754 PLEASANT AVE # 424W
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City | MINNEAPOLIS
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State | MN
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Zip | 55409-1277
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Country | US
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Telephone | 763-342-0104
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KORI KORI HENNESSY
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Credential | LMFT
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Telephone | 763-342-0104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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