institution
Birch Lake Professional Counseling Group, Inc.
Professional Counselor in White Bear Lake, Minnesota
NPI 1386863793

Birch Lake Professional Counseling Group, Inc. is a Professional Counselor based in White Bear Lake, MN and is specialized in Professional. Birch Lake Professional Counseling Group, Inc. practices in White Bear Lake, MN. The NPI Number for Birch Lake Professional Counseling Group, Inc. is 1386863793 and holds a License No. 00133 (Minnesota).

The current practice location address for Birch Lake Professional Counseling Group, Inc. is 1310 Highway 96 E, White Bear Lake, MN and can be reached out via phone at 651-653-1925 and via fax at 651-653-1956.

Location: 1310 Highway 96 E, White Bear Lake, MN, 55110-3624
institution
Provider Profile Details
NPI Number
1386863793
Provider Name
Birch Lake Professional Counseling Group, Inc.
Credential
Provider Entity Type
Organization
Address
1310 Highway 96 E, White Bear Lake, MN, 55110-3624
Phone Number
651-653-1925
Fax Number
651-653-1956
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00133 01 MN LPC
institution
Provider Business Practice Location Address Details
Address
1310 Highway 96 E
City
State
Zip
55110-3624
Phone Number
651-653-1925
Fax Number
651-653-1956
person
Provider Business Mailing Address Details
Address
1310 Highway 96 E
City
State
Zip
55110-3624
Phone Number
651-653-1925
Fax Number
651-653-1956
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
00133 (Minnesota)
Definition
Definition to come...
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