Organization
FREE BIRD COUNSELING AND CONSULTATION LLC
Active
Other names
Free Bird Counseling and Consultation, Free Bird Counseling and Consultation
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN J BOLLINGER-BROWN MSSW, LICSW (OWNER/PSYCHOLOGY)
(651) 206-8955
Entity
Organization
Contact information
Practice address
1684 SELBY AVE, SAINT PAUL, MN 55104-6149
(651) 206-8955
Mailing address
1684 SELBY AVENUE, ST PAUL, MN 55104-6149
(651) 206-8955
(651) 389-9397
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265500755
INDIVIDUAL NPI
MN
05
—
165172200
—
MN
Enumeration date
09/18/2014
Last updated
04/04/2025
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