Provider Demographics
NPI:1972688448
Name:TEIEN, JULI DIANE (LMFT)
Entity Type:Individual
Prefix:
First Name:JULI
Middle Name:DIANE
Last Name:TEIEN
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 1:5960 TOWN HALL DRIVE
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55357
Mailing Address - Country:US
Mailing Address - Phone:952-210-7645
Mailing Address - Fax:
Practice Address - Street 1:5960 TOWN HALL DRIVE
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MN
Practice Address - Zip Code:55357
Practice Address - Country:US
Practice Address - Phone:952-210-7645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1283106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN191P4MOOtherBC/BS MN
MN872983200OtherMHCP