Individual
BRIDGIT PANKONIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
155 2ND AVE SW, PERHAM, MN 56573-1717
(218) 422-6131
Mailing address
155 2ND AVE SW, PERHAM, MN 56573-1717
(218) 422-6131
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
01656
MN
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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