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Organization
BIRCH COUNSELING, PLLC.
Active
Organization
BIRCH COUNSELING, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTA RUTH SURERUS (ADMINISTRATOR)
(866) 522-2472
Entity
Organization
Contact information
Practice address
12800 WHITEWATER DR # 310, MINNETONKA, MN 55343-9441
(866) 244-2472
(763) 717-8049
Mailing address
12800 WHITEWATER DR # 310, MINNETONKA, MN 55343-9441
(866) 522-2472
(763) 717-8049
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPCC00186
MN
103TC1900X
Counseling Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598186330
—
MN
Enumeration date
12/20/2013
Last updated
12/07/2024
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