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Individual

BARBARA ELLEN O'BRIEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., LICSW,LAC,LPC

Contact information

Practice address
7213 FORESTVIEW LN N, MAPLE GROVE, MN 55369-5501
(763) 201-1440
(763) 201-1439
Mailing address
7213 FORESTVIEW LN N, MAPLE GROVE, MN 55369-5501
(763) 201-1440
(763) 201-1439

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1227
ND
101YP2500X
Professional Counselor
Primary
410-9-1-98
ND
1041C0700X
Clinical Social Worker
12010
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
068H5CE
BLUE CROSS BLUE SHIELD
MN
01
6248627
UNITED BEHAVIORAL HEALTH
MN
Enumeration date
11/21/2006
Last updated
09/11/2025
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