Individual
REBECCA BAKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
11280 86TH AVE N, MAPLE GROVE, MN 55369-4510
(763) 400-7828
Mailing address
12425 WATERSIDE CT, ROGERS, MN 55374-3300
(724) 261-7703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
11/25/2024
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