Provider Demographics
NPI:1336545086
Name:SAUER, MARLENA RUTH (LMFT)
Entity Type:Individual
Prefix:
First Name:MARLENA
Middle Name:RUTH
Last Name:SAUER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:MARLENA
Other - Middle Name:RUTH
Other - Last Name:MULLENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8640 EAGLE CREEK CIRCLE
Mailing Address - Street 2:
Mailing Address - City:SAVAGE
Mailing Address - State:MN
Mailing Address - Zip Code:55378
Mailing Address - Country:US
Mailing Address - Phone:952-746-7664
Mailing Address - Fax:952-224-4867
Practice Address - Street 1:8640 EAGLE CREEK CIRCLE
Practice Address - Street 2:
Practice Address - City:SAVAGE
Practice Address - State:MN
Practice Address - Zip Code:55378
Practice Address - Country:US
Practice Address - Phone:952-746-7664
Practice Address - Fax:952-224-4867
Is Sole Proprietor?:No
Enumeration Date:2014-11-07
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2829106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist