Matthew Thiede
Matthew Thiede is a Mental Health Counselor in Maple Grove, Minnesota. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
12918 63rd Ave NMaple Grove, MN 55369-6001
Phone: (763) 210-9966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1164015384 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 18, 2021 |
| Last updated in NPPES | February 18, 2021 |
| Certification date | February 18, 2021 |
| Mailing address | 12918 63rd Ave N, Maple Grove, MN 55369-6001 |
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