Organization
TRAVERSE COUNSELING & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BOROWIAK MSW, LICSW (OWNER)
(952) 595-5967
Entity
Organization
Contact information
Practice address
11812 WAYZATA BLVD, MINNETONKA, MN 55305
(952) 595-5967
(952) 322-7037
Mailing address
11812 WAYZATA BLVD, SUITE 100, MINNETONKA, MN 55305
(952) 595-5967
(952) 322-7037
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
13627
MN
101YM0800X
Mental Health Counselor
Primary
LP1844
MN
106H00000X
Marriage & Family Therapist
LMFT2560
MN
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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