Individual provider · Type 1 NPI

Bianca Lee Bodine-Haag, LADC

Mental Health Counselor · Minneapolis, MN

NPI number 1245996149 Active

Practice location

1409 Willow St Ste 400
Minneapolis, MN 55403-3251

Call (612) 445-0225 Map

Fax (612) 445-0112

Mailing address

585 Cleveland Ave S
St. Paul, MN 55116-1237

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCC03877 (MN)
Addiction (Substance Use Disorder) Counselor 101YA0400X305716 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1245996149

Bianca Lee Bodine-Haag, LADC's National Provider Identifier is 1245996149, issued on Nov 15, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 25, 2023.