Individual
ANN NIEBUHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6417 PENN AVE S STE 8 #2, MINNEAPOLIS, MN 55423
(612) 486-2289
Mailing address
6417 PENN AVE S STE 8 #2, MINNEAPOLIS, MN 55423
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2407
LPCC
MN
Enumeration date
07/25/2019
Last updated
04/24/2020
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