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Contact Information

SARAH K THEISEN, MS ATR, LPCC
1875 STATION PKWY NW
ANDOVER, MN55304-3319
 Phone: 763-482-9598
 Fax: 612-235-6447
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Art Therapist

221700000X
Indicates primary specialty

NPI Profile & details for SARAH K THEISEN · (Female)

NPI # 1588448138
Status Active
Credentials MS ATR, LPCC
Entity Individual
Enumeration date 08/23/2023
Last updated 09/06/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 21-388
  • MN License # CC03967
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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