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Eden Broberg, MA
Mental Health Counselor in Stillwater, Minnesota
NPI 1265190474

Eden Broberg is a Mental Health Counselor based in Stillwater, MN and is specialized in Mental Health. Eden Broberg practices in Stillwater, MN and has the professional credentials of MA. The NPI Number for Eden Broberg is 1265190474 and holds a License No. (Minnesota).

The current practice location address for Eden Broberg is 6381 Osgood Ave N Bldg C, Stillwater, MN and can be reached out via phone at 651-401-8162 and via fax at 651-383-4544.

Location: 6381 Osgood Ave N Bldg C, Stillwater, MN, 55082-6118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265190474
Provider Name
Eden Broberg
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
6381 Osgood Ave N Bldg C, Stillwater, MN, 55082-6118
Phone Number
651-401-8162
Fax Number
651-383-4544
Provider Enumeration Date
12/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6381 Osgood Ave N Bldg C
City
Stillwater
State
Minnesota
Zip
55082-6118
Phone Number
651-401-8162
Fax Number
651-383-4544
person
Provider Business Mailing Address Details
Address
6381 Osgood Ave N Bldg C
City
Stillwater
State
Minnesota
Zip
55082-6118
Phone Number
651-401-8162
Fax Number
651-383-4544
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Minnesota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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