Individual provider · Type 1 NPI

Melissa Bofenkamp, LPCC

Professional Counselor · St. Paul, MN

NPI number 1891109401 Active

Practice location

2060 Centre Pointe Blvd, Suite #3
St. Paul, MN 55120-1269

Fax (651) 774-0606

Mailing address

1319 Girard Ave N
Minneapolis, MN 55411-3188

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XCC00771 (MN)

Professional Counselor: Definition to come...

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About NPI 1891109401

Melissa Bofenkamp, LPCC's National Provider Identifier is 1891109401, issued on Jun 12, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Paul, MN. The record was last updated on Jun 12, 2014.