Individual
BRIANA BAULEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
3460 WASHINGTON DR STE 110, EAGAN, MN 55122-4301
(651) 688-0488
Mailing address
5140 HAMPTON ST NE, PRIOR LAKE, MN 55372-1370
(320) 493-4704
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3115
MN
Other
Enumeration date
11/20/2017
Last updated
04/07/2020
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