Individual
MARY BETH BEKICH POLSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LADC, LPCC
Contact information
Practice address
3705 PARK CENTER BLVD, ST LOUIS PARK, MN 55416-2504
(952) 405-7637
Mailing address
3705 PARK CENTER BLVD, ST LOUIS PARK, MN 55416-2504
(952) 405-7637
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
302748
MN
101YM0800X
Mental Health Counselor
CC00533
MN
101YP2500X
Professional Counselor
Primary
CC00533
MN
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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