Individual
REBECCA LYNN BLAEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4858 BANNING AVENUE, WHITE BEAR LAKE, MN 55110
(612) 643-0036
(651) 773-7591
Mailing address
2201 FAIRWAY DRIVE NE, COLUMBIA HEIGHTS, MN 55421-2010
(612) 643-0036
(651) 773-7591
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/15/2012
Last updated
03/11/2020
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