Individual
MR. JOHN ALBERT BIRKLAND IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2345 ARIEL STREET NORTH, MAPLEWOOD, MN 55109-2248
(651) 254-4793
Mailing address
388 LAUREL AVE, APT #6, SAINT PAUL, MN 55102-4800
(319) 573-5387
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2372
MN
Other
Enumeration date
09/18/2012
Last updated
04/20/2016
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