Individual
PAIGE BERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC, BCBA
Contact information
Practice address
4635 NICOLS ROAD #104, EAGAN, MN 55122
(612) 289-6480
Mailing address
4635 NICOLS ROAD #104, EAGAN, MN 55122
(612) 289-6480
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00266
MN
Other
Enumeration date
02/08/2011
Last updated
07/01/2021
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