Individual
MS. MICHELLE BEILBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7314 STAGECOACH TRL, LINO LAKES, MN 55014-3049
(763) 220-0433
Mailing address
7314 STAGECOACH TRL, LINO LAKES, MN 55014-3049
(763) 220-0433
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2412
MN
390200000X
Student in an Organized Health Care Education/Training Program
800791
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305472100
—
MN
Enumeration date
10/22/2009
Last updated
10/10/2012
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