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NPI Code Detail

MEDICARE: ANGELA ZACHRISON LMFT

MEDICARE: ANGELA ZACHRISON 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 Therapist2039MN

General Provider Information

NPI Number : 1720385735
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA ZACHRISON LMFT
Provider Business Mailing Address
First Line : 5500 94TH AVE N
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55443-1992
Country : US
Telephone Number : 612-805-5057
Fax Number :
Provider Business Practice Location Address
First Line : 5500 94TH AVE N
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55443-1992
Country : US
Telephone Number : 763-367-7599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2011
Last Update Date : 11/09/2022

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Directions to “ ANGELA ZACHRISON LMFT” Practice Location

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