Provider Demographics
NPI:1548330574
Name:COTTRELL, MARGARET (MA, LMFT)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:COTTRELL
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 1:3001 HENNEPIN AVENUE SOUTH
Mailing Address - Street 2:#B301
Mailing Address - City:MPLS
Mailing Address - State:MN
Mailing Address - Zip Code:55408
Mailing Address - Country:US
Mailing Address - Phone:612-825-3440
Mailing Address - Fax:612-827-2477
Practice Address - Street 1:3001 HENNEPIN AVENUE SOUTH
Practice Address - Street 2:#B301
Practice Address - City:MPLS
Practice Address - State:MN
Practice Address - Zip Code:55408
Practice Address - Country:US
Practice Address - Phone:612-825-3440
Practice Address - Fax:612-827-2477
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLMFT1189106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN19324COOtherBCBS OF MN