Search › Minnesota › 101YA0400X

Julie Theisen, LADC

NPI 1306247531 · on the registry since 2014

Practice

Address
2351 3rd Street Nw
201
New Brighton, MN 55112
Phone
(612) 559-6250

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-09-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota