Organization
BREAKING FREE COUNSELING AND CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRIA GRIM LPCC (OWNER/PSYCHOTHERAPIST)
(314) 295-9103
Entity
Organization
Contact information
Practice address
2800 FREEWAY BLVD STE 113, MINNEAPOLIS, MN 55430-1751
(612) 430-9298
Mailing address
121 83RD AVE NE APT 108, FRIDLEY, MN 55432-1881
(314) 295-9103
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/25/2020
Last updated
05/25/2020
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