Vitaly Ana Sukochev in Mendota Heights - Marriage & Family Therapist
Vitaly Ana Sukochev - NPI 1174730840
Vitaly Ana Sukochev is a Marriage & Family Therapist in Mendota Heights, Minnesota. Vitaly Ana Sukochev practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Vitaly Ana Sukochev is 1174730840. The last update date is 2020-06-11.
Vitaly Ana Sukochev's current location address is 1385 Mendota Heights Rd Ste 200, Mendota Heights, Minnesota. You can contact this provider via phone number 6513799800 and fax number 6514050358. The mailing address for Vitaly Ana Sukochev is 1385 Mendota Heights Rd Ste 200, Mendota Heights, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vitaly Ana Sukochev |
|---|---|
| Address | 1385 Mendota Heights Rd Ste 200, Mendota Heights, Minnesota |
| Phone Number | 6513799800 |
| Fax Number | 6514050358 |
| Sole Proprietor | Y |
| Credentials | M.A. |
NPI Number Detail
| NPI Number | 1174730840 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2020-06-11 |
Provider Mailing Address Detail
| Address | 1385 Mendota Heights Rd Ste 200 |
|---|---|
| City | Mendota Heights |
| State | Minnesota (MN) |
| Post Code | 55120 |
| Phone Number | 6513799800 |
| Fax Number | 6514050358 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 2047 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the Vitaly Ana Sukochev's 1174730840?
The Vitaly Ana Sukochev's NPI (National Provider Identifier) Number is 1174730840. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Vitaly Ana Sukochev?
The Vitaly Ana Sukochev is physically situated at 1385 Mendota Heights Rd Ste 200, in the city of Mendota Heights, state of MN, with the postal code 55120.
What is Vitaly Ana Sukochev's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Vitaly Ana Sukochev is Marriage & Family Therapist, and the taxonomy code that categorizes this field of expertise is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174730840 to Vitaly Ana Sukochev?
The Centers for Medicare & Medicaid Services assigned the 1174730840 to Vitaly Ana Sukochev on 2007-05-16.
As of what date were the details pertaining to Vitaly Ana Sukochev last refreshed?
The information related to the Vitaly Ana Sukochev, including its address, specialty, and other relevant details, was last updated on 2020-06-11.
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