Individual
MRS. BREANNA DEE HERBST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C.C.
Contact information
Practice address
1068 LAKE ST S, SUITE 12, FOREST LAKE, MN 55025-2639
(651) 464-2194
Mailing address
35624 LINCOLN RD, NORTH BRANCH, MN 55056-5789
(651) 274-6674
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC000556
MN
Other
Enumeration date
04/02/2009
Last updated
07/11/2013
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