Individual provider · Type 1 NPI

Eden Broberg, MA

Mental Health Counselor · Stillwater, MN

NPI number 1265190474 Active

Practice location

6381 Osgood Ave N Bldg C
Stillwater, MN 55082-6118

Call (651) 401-8162 Map

Fax (651) 383-4544

Other practice locations

  • 5354 Parkdale Dr Fl 2, Minneapolis, MN 55416-1603 · (651) 645-5323

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1265190474

Eden Broberg, MA's National Provider Identifier is 1265190474, issued on Dec 5, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stillwater, MN. The record was last updated on May 11, 2023.