Individual
MR. CORY LEE BAUMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
652 BIELENBERG DR, WOODBURY, MN 55125
(763) 670-9676
Mailing address
652 BIELENBERG DR, WOODBURY, MN 55125-2233
(763) 670-9676
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC01435
MN
Other
Enumeration date
12/12/2017
Last updated
12/13/2018
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