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NPI Code Detail

MEDICARE: NANCY J. SOLES LMFT

MEDICARE: NANCY J. SOLES 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 Therapist1082MN

General Provider Information

NPI Number : 1376680405
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY J. SOLES LMFT
Provider Business Mailing Address
First Line : 5435 WASHBURN AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55410-2436
Country : US
Telephone Number : 612-251-1357
Fax Number : 651-925-0427
Provider Business Practice Location Address
First Line : 621 W LAKE ST STE 350
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-2952
Country : US
Telephone Number : 612-251-1357
Fax Number : 651-925-0427
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 11/04/2025

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