Organization · Type 2 NPI

Birch Lake Professional Counseling Group, Inc.

Professional Counselor · White Bear Lake, MN

NPI number 1386863793 Active

Practice location

1310 Highway 96 E, Suite 104B
White Bear Lake, MN 55110-3624

Fax (651) 653-1956

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X00133 (MN)

Professional Counselor: Definition to come...

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About NPI 1386863793

Birch Lake Professional Counseling Group, Inc.'s National Provider Identifier is 1386863793, issued on Apr 24, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in White Bear Lake, MN. The record was last updated on Aug 22, 2020.