Organization
TBC COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA DEAN BOEHNE LPCC (OWNER/OUTPATIENT THERAPIST)
(952) 373-1783
Entity
Organization
Contact information
Practice address
212 ASH AVE N STE 5, MAYER, MN 55360-8557
(320) 583-4098
Mailing address
PO BOX 19, MAYER, MN 55360-0019
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
07/02/2024
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