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General NPI Number Information
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NPI Number | 1285557645
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Entity Type | Individual
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Provider Name | CHRISTINA LORY BRASEL LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 16201 90TH ST NE STE 203
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City | OTSEGO
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State | MN
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Zip | 55330-7465
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Country | US
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Telephone | 763-777-9499
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Fax |
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Provider Business Mailing Address
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Address Line | 446 SHANNON DR
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City | BIG LAKE
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State | MN
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Zip | 55309-3310
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Country | US
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Telephone | 763-477-1333
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 3187
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License Number State | MN
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