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General NPI Number Information
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NPI Number | 1912364126
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Entity Type | Individual
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Provider Name | LISA MARIE ATKINSON LMFT, ATR-BC
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Gender | Female
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Dates
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Enumeration Date | 01/19/2016
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 2990 CENTRE POINTE DR
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City | ROSEVILLE
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State | MN
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Zip | 55113-1182
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Country | US
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Telephone | 651-638-1564
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Fax | 651-638-1580
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Provider Business Mailing Address
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Address Line | 2990 CENTRE POINTE DR
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City | ROSEVILLE
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State | MN
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Zip | 55113-1182
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Country | US
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Telephone | 651-638-1564
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Fax | 651-638-1580
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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 | 3419
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 17-478
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License Number State | MN
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