Organization
GREEN BIRD COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER LEE CARDINAL M.A., LPCC (OWNER/THERAPIST)
(612) 267-6194
Entity
Organization
Contact information
Practice address
4175 LOVELL RD, #107, CIRCLE PINES, MN 55014-3500
(612) 267-6194
Mailing address
4175 LOVELL RD, #107, CIRCLE PINES, MN 55014-3500
(612) 267-6194
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC 779
MN
Other
Enumeration date
03/31/2014
Last updated
05/22/2015
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