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Latarsha Nicole Bronaugh, LPCC
Counselor in Shoreview, Minnesota
NPI 1902255441

Latarsha Nicole Bronaugh is a Counselor based in Shoreview, MN. Latarsha Nicole Bronaugh practices in Shoreview, MN and has the professional credentials of LPCC. The NPI Number for Latarsha Nicole Bronaugh is 1902255441 and holds a License No. (Minnesota).

The current practice location address for Latarsha Nicole Bronaugh is 3490 Lexington Ave North, Shoreview, MN and can be reached out via phone at 651-486-3808.

Location: 3490 Lexington Ave North, Shoreview, MN, 55126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902255441
Provider Name
Latarsha Nicole Bronaugh
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
3490 Lexington Ave North, Shoreview, MN, 55126
Phone Number
651-486-3808
Fax Number
Provider Enumeration Date
06/06/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3490 Lexington Ave North
City
Shoreview
State
Minnesota
Zip
55126
Phone Number
651-486-3808
Fax Number
person
Provider Business Mailing Address Details
Address
3490 Lexington Ave North
City
Shoreview
State
Minnesota
Zip
55126
Phone Number
651-486-3808
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(Minnesota)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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