Organization
IN FULL BLOOM COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVONNE BROTEN MA (OWNER)
(612) 208-2265
Entity
Organization
Contact information
Practice address
6417 PENN AVE S STE 7-1334, MINNEAPOLIS, MN 55423-1186
(612) 208-2265
Mailing address
6417 PENN AVE S STE 7-1334, MINNEAPOLIS, MN 55423-1186
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
About Stedi
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