Birch Lake Professional Counseling Group, Inc.
NPI #1386863793 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1386863793
- Entity Type
- Organization
- Organization Name
- Birch Lake Professional Counseling Group, Inc.
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Apr 24, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1310 HIGHWAY 96 E
- Address 2
- SUITE 104B
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-3624
- Phone
- (651) 653-1925
Authorized Official
- Name
- DR. JOE WILLIAM GLADDEN II, PH.D. LPC, LMHC
- Title
- MANAGING DIRECTOR
- Phone
- (651) 653-1925
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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