| NPI | 1780944165 |
|---|---|
| Other Name | SINGLE MEMBER LLC |
| Entity Type | Organization |
| Authorized Contact | BRAD BYCHINSKI Owner 612-390-5070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1839) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MN 5321) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |