Individual
AMY E BABCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Contact information
Practice address
310 CLIFTON AVE, MINNEAPOLIS, MN 55403-3218
(612) 223-8898
Mailing address
1538 2ND AVE, NEWPORT, MN 55055-1070
(321) 890-7535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
2594
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184193781
NPI I
MN
Enumeration date
11/13/2018
Last updated
09/22/2020
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