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NPI Code Detail

MEDICARE: JOANNE MARIE HARSTE M.A., LMFT

MEDICARE:   JOANNE MARIE HARSTE  M.A., LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist1100MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1106623400OTHERMNMEDICAL ASSISTANCE

General Provider Information

NPI Number : 1184722241
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNE MARIE HARSTE M.A., LMFT
Provider Business Mailing Address
First Line : 20083 226TH AVE NW
Second Line :
City : BIG LAKE
State : MN
Zip : 55309
Country : US
Telephone Number : 651-353-5453
Fax Number :
Provider Business Practice Location Address
First Line : 20083 226TH AVE NW
Second Line :
City : BIG LAKE
State : MN
Zip : 55309
Country : US
Telephone Number : 651-353-5453
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 11/17/2021

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Directions to “ JOANNE MARIE HARSTE M.A., LMFT” Practice Location

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