Organization
LINEAGE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH BRANDVOLD LMFT (OWNER)
(612) 716-6795
Entity
Organization
Contact information
Practice address
4900 HIGHWAY 169 N STE 220, NEW HOPE, MN 55428-4058
(612) 427-8197
Mailing address
4900 HIGHWAY 169 N STE 220, NEW HOPE, MN 55428-4058
(612) 219-0084
(763) 762-6911
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
01/06/2026
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