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NPI Code Detail

MEDICARE: MEGAN CRITTENDEN MA, LPC, LMFT

MEDICARE:   MEGAN  CRITTENDEN  MA, LPC, 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 Therapist48956CA
2101YP2500XProfessional Counselor3623ID
3101YP2500XProfessional Counselor02010MN

General Provider Information

NPI Number : 1790271179
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN CRITTENDEN MA, LPC, LMFT
Provider Business Mailing Address
First Line : 2720 KENILWORTH PL
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55405-2324
Country : US
Telephone Number : 650-796-4883
Fax Number :
Provider Business Practice Location Address
First Line : 2909 WAYZATA BLVD
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55405-2126
Country : US
Telephone Number : 763-999-7920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2018
Last Update Date : 07/09/2018

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Directions to “ MEGAN CRITTENDEN MA, LPC, LMFT” Practice Location

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