Organization
LIFE COUNSELING LLC
Active
Other names
Single Member LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD BYCHINSKI L.M.F.T. (OWNER)
(612) 390-5070
Entity
Organization
Contact information
Practice address
1664 CLIFF RD E, BURNSVILLE, MN 55337-1300
(952) 314-2530
(952) 314-7018
Mailing address
1664 CLIFF RD E, BURNSVILLE, MN 55337-1300
(952) 314-2530
(952) 314-7018
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
5321
MN
106H00000X
Marriage & Family Therapist
Primary
1839
MN
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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