Individual
EDEN BROBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6381 OSGOOD AVE N BLDG C, STILLWATER, MN 55082-6118
(651) 401-8162
(651) 383-4544
Mailing address
6381 OSGOOD AVE N BLDG C, STILLWATER, MN 55082-6118
(651) 401-8162
(651) 383-4544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
MN
Other
Enumeration date
12/05/2021
Last updated
05/11/2023
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