NPI 1003195082

Judith Louise Ross Agustin, MSLMFT

Practitioner Marriage & Family Therapist Bloomington, MN

Practice location

Address: 8100 Penn Ave S STE 150h, Bloomington, MN 55431-1346
Phone: (612) 314-6012

Registered specialties (2)

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 2534 (MN)

Other Marriage & Family Therapist providers in Minnesota →

Marriage & Family Therapist

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence MT2659 (FL)

Registry record

NPI: 1003195082
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2011
Record last updated: 10 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.