Individual
MICHAEL PROEBSTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
4141 OLD SIBLEY MEMORIAL HWY, EAGAN, MN 55122-1996
(612) 888-3858
Mailing address
3763 DENMARK TRL W, EAGAN, MN 55123-1010
(612) 888-3858
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2310
MN
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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