Provider Demographics
NPI:1770774234
Name:STURLAUGSON, DEANNA CLAIRE (LMFT)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:CLAIRE
Last Name:STURLAUGSON
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 1:640 ATLANTIC AVE
Mailing Address - Street 2:COUNSELING ASSOCIATES
Mailing Address - City:BENSON
Mailing Address - State:MN
Mailing Address - Zip Code:56215-1381
Mailing Address - Country:US
Mailing Address - Phone:800-833-3096
Mailing Address - Fax:
Practice Address - Street 1:640 ATLANTIC AVE
Practice Address - Street 2:COUNSELING ASSOCIATES
Practice Address - City:BENSON
Practice Address - State:MN
Practice Address - Zip Code:56215-1381
Practice Address - Country:US
Practice Address - Phone:800-833-3096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN976106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist