Provider Demographics
NPI:1316923089
Name:TORKELSON, CYNTHIA (MA, LMFT)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:TORKELSON
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19021 FREEPORT ST NW
Mailing Address - Street 2:SUITE 500
Mailing Address - City:ELK RIVER
Mailing Address - State:MN
Mailing Address - Zip Code:55330-1278
Mailing Address - Country:US
Mailing Address - Phone:763-441-3951
Mailing Address - Fax:763-441-8661
Practice Address - Street 1:19021 FREEPORT ST NW
Practice Address - Street 2:SUITE 500
Practice Address - City:ELK RIVER
Practice Address - State:MN
Practice Address - Zip Code:55330-1278
Practice Address - Country:US
Practice Address - Phone:763-441-3951
Practice Address - Fax:763-441-8661
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN949106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist