Provider Demographics
NPI:1093960288
Name:AUNE, ALISSA JANE (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:ALISSA
Middle Name:JANE
Last Name:AUNE
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4505 DREW AVE N
Mailing Address - Street 2:
Mailing Address - City:ROBBINSDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55422-1426
Mailing Address - Country:US
Mailing Address - Phone:763-546-8175
Mailing Address - Fax:763-546-2197
Practice Address - Street 1:7575 GOLDEN VALLEY RD STE 305
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55427-4572
Practice Address - Country:US
Practice Address - Phone:763-546-8175
Practice Address - Fax:763-546-2197
Is Sole Proprietor?:No
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1648106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist