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NPI Code Detail

MEDICARE: CHRISTINA ELIZABETH VIKESLAND MA, LMFT

MEDICARE: CHRISTINA ELIZABETH VIKESLAND 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 Therapist3969MN

General Provider Information

NPI Number : 1568092781
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA ELIZABETH VIKESLAND MA, LMFT
Provider Business Mailing Address
First Line : 507 PROFESSIONAL DR
Second Line :
City : NORTHFIELD
State : MN
Zip : 55057-2756
Country : US
Telephone Number : 507-301-3412
Fax Number : 507-301-3308
Provider Business Practice Location Address
First Line : 570 PROFESSIONAL DR
Second Line :
City : NORTHFIELD
State : MN
Zip : 55057-2756
Country : US
Telephone Number : 507-301-3412
Fax Number : 507-301-3308
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2020
Last Update Date : 03/19/2026

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