Sukochev, Vitaly Ana

Sukochev, Vitaly Ana is an sole proprietor health care provider with primary practice located at 1385 Mendota Heights Rd Ste 200 , Mendota Heights MN 55120. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Sukochev, Vitaly Ana can be contacted via phone (651) 379-9800.

Contact Information

Primary practice address
1385 Mendota Heights Rd Ste 200 Mendota Heights MN 55120
Phone: (651) 379-9800
Fax: (651) 405-0358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2047 Minnesota

Profile Details

NPI number 1174730840
LBN Legal business name Sukochev, Vitaly Ana
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated Jun 11th, 2020 - about 6 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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