Individual
LAUREN BRUYERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2025 4TH ST STE 100, WHITE BEAR LAKE, MN 55110-2875
(651) 212-4920
Mailing address
2025 4TH ST STE 100, WHITE BEAR LAKE, MN 55110-2875
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
12153-125
WI
101YP2500X
Professional Counselor
Primary
5335
MN
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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