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General NPI Number Information
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NPI Number | 1174476311
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Entity Type | Organization
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Legal Business Name | CLOUD BREAK PSYCHOTHERAPY LLC
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 4748 CHICAGO AVE STE 9
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-4320
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Country | US
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Telephone | 218-839-4225
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Fax |
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Provider Business Mailing Address
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Address Line | 5500 NICOLLET AVE UNIT 19151
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City | MINNEAPOLIS
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State | MN
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Zip | 55419-1982
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Country | US
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Telephone | 218-839-4225
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Fax |
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Authorized Official
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Title or Position | MARRIAGE & FAMILY THERAPIST
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Name | JOCELYN SUTEHALL
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Credential | LMFT
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Telephone | 218-839-4225
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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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