Individual provider · Type 1 NPI

Tabitha Soderstrom, MS

Mental Health Counselor · White Bear Lake, MN

NPI number 1013556166 Active

Practice location

3596 Linden Ave
White Bear Lake, MN 55110-4693

Call (507) 215-2459 Map

Mailing address

453 Cimarron
Lake Elmo, MN 55042-9621

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1013556166

Tabitha Soderstrom, MS's National Provider Identifier is 1013556166, issued on Jan 6, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in White Bear Lake, MN. The record was last updated on Jan 6, 2020.