Organization
SILVER BIRCH THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY VREDENBURGH MA, LMFT (OWNER)
(612) 876-6586
Entity
Organization
Contact information
Practice address
905 STANLEY AVE, CLOQUET, MN 55720-3186
(612) 876-6586
(185) 851-5862
Mailing address
9450 SW GEMINI DR, PMB 14034, BEAVERTON, OR 97008-5842
(612) 876-6586
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2962
MN
Other
Enumeration date
04/06/2018
Last updated
06/02/2021
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