Individual
MINDIE BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1705 ANNE ST NW, BEMIDJI, MN 56601-6151
(218) 333-2162
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
305895
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
305895
MN
Other
Enumeration date
11/24/2020
Last updated
12/11/2020
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