Organization
BREANNA HERBST COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BREANNA HERBST HERBST LPCC (OWNER/ PSYCHOTHERAPIST)
(651) 274-6674
Entity
Organization
Contact information
Practice address
35624 LINCOLN RD, NORTH BRANCH, MN 55056-5789
(651) 274-6674
Mailing address
35624 LINCOLN RD, NORTH BRANCH, MN 55056-5789
(651) 274-6674
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPCC000556
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477795615
INDIVIDUAL NPI #
MN
Enumeration date
08/16/2013
Last updated
08/16/2013
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