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NPI Code Detail

MEDICARE: KATHERINE L SCHLIESMAN MA, LMFT

MEDICARE: KATHERINE L SCHLIESMAN MA, 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 Therapist3075MN

General Provider Information

NPI Number : 1194282210
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE L SCHLIESMAN MA, LMFT
Provider Business Mailing Address
First Line : 5936 BEARD AVE S
Second Line :
City : EDINA
State : MN
Zip : 55410-2710
Country : US
Telephone Number : 612-270-9861
Fax Number :
Provider Business Practice Location Address
First Line : 14300 NICOLLET CT STE 130
Second Line :
City : BURNSVILLE
State : MN
Zip : 55306-3422
Country : US
Telephone Number : 952-435-8814
Fax Number : 952-435-7705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2019
Last Update Date : 01/22/2020

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Directions to “ KATHERINE L SCHLIESMAN MA, LMFT” Practice Location

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