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NPI Code Detail

MEDICARE: CHRISTIE MARIE HAUSTEIN LMFT

MEDICARE: CHRISTIE MARIE HAUSTEIN 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 Therapist2116MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417215153
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIE MARIE HAUSTEIN LMFT
Provider Business Mailing Address
First Line : 5910 SHINGLE CREEK PKWY
Second Line :
City : BROOKLYN CENTER
State : MN
Zip : 55430-2322
Country : US
Telephone Number : 763-569-5201
Fax Number : 763-569-5240
Provider Business Practice Location Address
First Line : 5910 SHINGLE CREEK PKWY
Second Line :
City : BROOKLYN CENTER
State : MN
Zip : 55430-2322
Country : US
Telephone Number : 763-569-5200
Fax Number : 763-569-5201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2012
Last Update Date : 03/17/2023

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Directions to “ CHRISTIE MARIE HAUSTEIN LMFT” Practice Location

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