Individual
MELISSA BOFENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2060 CENTRE POINTE BLVD, SUITE #3, SAINT PAUL, MN 55120-1269
(651) 774-0011
(651) 774-0606
Mailing address
1319 GIRARD AVE N, MINNEAPOLIS, MN 55411-3188
(612) 529-2040
(612) 529-3849
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00771
MN
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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