Individual
MATTHEW AARON FANBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSED, LPCC
Contact information
Practice address
332 W SUPERIOR ST STE 300, DULUTH, MN 55802-1844
(218) 722-4379
(218) 722-4333
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC01699
MN
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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