Provider Demographics
NPI:1801469788
Name:ALBERTS, ASHLEE (RD, LD, LMFT)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:ALBERTS
Suffix:
Gender:F
Credentials:RD, LD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 PRIMROSE CURV
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-1855
Mailing Address - Country:US
Mailing Address - Phone:651-373-1735
Mailing Address - Fax:
Practice Address - Street 1:1400 PRIMROSE CURV
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-1855
Practice Address - Country:US
Practice Address - Phone:651-373-1735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3068106H00000X
MN4039133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist