# TRAVERSE COUNSELING & CONSULTING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629449939
- **Authorized official:** MR. MICHAEL BOROWIAK MSW, LICSW (OWNER)
- **Authorized official phone:** (952) 595-5967

## Contact information

- **Practice address:** 11812 WAYZATA BLVD, MINNETONKA, MN 55305
- **Practice address phone:** (952) 595-5967
- **Practice address fax:** (952) 322-7037
- **Mailing address:** 11812 WAYZATA BLVD, SUITE 100, MINNETONKA, MN 55305
- **Mailing address phone:** (952) 595-5967
- **Mailing address fax:** (952) 322-7037

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 13627 | MN | — |
| 101YM0800X | Mental Health Counselor | LP1844 | MN | Yes |
| 106H00000X | Marriage & Family Therapist | LMFT2560 | MN | — |

## Other

- **Enumeration date:** 10/13/2015
- **Last updated:** 10/13/2015