Mr. Samuel Joseph Egertson
Mr. Samuel Joseph Egertson is a Counselor in St Louis Park, Minnesota. Licensed in Minnesota and Missouri. Registered with an NPI since 2019.
- Licensed in
- MN, MO
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
5407 Excelsior Blvd Ste BSt Louis Park, MN 55416-2932
Phone: (612) 787-2832
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X (MN) |
|---|---|
| Counselor | Taxonomy 101Y00000X · Licence 2018038889 (MO) |
Record details
| NPI number | 1053885756 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 15, 2019 |
| Last updated in NPPES | June 15, 2021 |
| Certification date | May 29, 2021 |
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