Individual
MR. DAVID CRAIG BAUMRUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPCC, NCC
Contact information
Practice address
7501 80TH ST S STE 210, COTTAGE GROVE, MN 55016-3063
(651) 797-3171
(651) 925-0604
Mailing address
7501 80TH ST S STE 210, COTTAGE GROVE, MN 55016-3063
(651) 797-3171
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
02165
MN
101YP2500X
Professional Counselor
Primary
02165
MN
Other
Enumeration date
09/18/2017
Last updated
02/16/2022
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