Bamboo Counseling Services Pllc

NPI #1437691128 in Lindstrom, Minnesota

Provider Information

NPI Number
1437691128
Entity Type
Organization
Organization Name
Bamboo Counseling Services Pllc
Primary Specialty
Community/Behavioral Health
Enumeration Date
Nov 10, 2016
Last Updated
Nov 10, 2016

Practice Location

Address
12295 LAKE BLVD
ZIP Code
55045-9325
Phone
(651) 243-8967

Authorized Official

Name
REGINA HOLLIBUSH, LICSW
Title
OUTPATIENT MENTAL HEALTH THERAPIST
Phone
(651) 243-8967

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