Provider Demographics
NPI:1093250227
Name:MOZINA, BRIDGET (LMFT)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:
Last Name:MOZINA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14591 GRAND AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55306-5725
Mailing Address - Country:US
Mailing Address - Phone:507-676-4668
Mailing Address - Fax:
Practice Address - Street 1:14591 GRAND AVE STE 206
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55306-5725
Practice Address - Country:US
Practice Address - Phone:612-699-3300
Practice Address - Fax:612-699-4400
Is Sole Proprietor?:No
Enumeration Date:2016-12-26
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health