Individual
BRENT BAUMLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LPCC
Contact information
Practice address
1500 MCANDREWS RD W, SUITE 201, BURNSVILLE, MN 55337-4432
(952) 892-8495
(651) 379-0448
Mailing address
8669 EAGLE POINT BLVD, LAKE ELMO, MN 55042-8628
(651) 379-0444
(651) 379-0448
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2719-125
WI
101YP2500X
Professional Counselor
Primary
CC00197
MN
101YP2500X
Professional Counselor
LPC-00139
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158J1BA
BLUE CROSS/BLUE SHIELD MN
MN
Enumeration date
03/23/2006
Last updated
12/23/2011
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