MRS. Breanna Dee Herbst, M.S., L.P.C.C.
NPI #1477795615 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1477795615
- Entity Type
- Individual
- Name
- MRS. Breanna Dee Herbst, M.S., L.P.C.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- M.S., L.P.C.C.
- Enumeration Date
- Apr 2, 2009
- Last Updated
- Jul 11, 2013
Practice Location
- Address
- 1068 LAKE ST S
- Address 2
- SUITE 12
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-2639
- Phone
- (651) 464-2194
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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