Debra Karen Kullberg, L.A.M.F.T., M.DIV.
Individual provider Active NPI Marriage & Family Therapist · Mound, MN
NPI 1386800977 · NPPES record last updated Aug 27, 2009
Key facts
- NPI
- 1386800977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 1886 (MN)
- Practice address
- 1567 Bluebird LN
Mound, MN 55364-1109 - Phone
- (952) 472-5848
- NPI assigned
- Aug 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1886 | MN | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1886 | MN | Yes |
Addresses
Primary practice location
1567 Bluebird LN
Mound, MN 55364-1109
Mailing address
1567 Bluebird LN
Mound, MN 55364-1109
Phone (952) 472-5848
Other providers in Mound, MN
- J M Baldus, Inc
- Macushla Colleen Kelly
- Keystone Chiropractic Health Centre PA
- Reilly Lynn Kroiss
- Sheila Kruesel
- Robert A Lauer
- Lost Lake Optical Company
- Loving Care by Martha
- Mac Medical Concepts LLC
- Patricia J. Mactaggert
All providers in Mound, MN · Marriage & Family Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.