Bothun, Michelle Anne
Bothun, Michelle Anne is an individual health care provider with primary practice located at 14663 Mercantile Dr N , Hugo MN 55038-4559. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Bothun, Michelle Anne can be contacted via phone (612) 405-3156.Contact Information
Primary practice address
14663 Mercantile Dr N
Hugo MN 55038-4559
Phone: (612) 405-3156
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 3494 | Minnesota |
Profile Details
| NPI number | 1639648538 |
|---|---|
| LBN Legal business name | Bothun, Michelle Anne |
| Credentials | MA, LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2018 |
| Last updated | Aug 15th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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