Birch Lake Counseling LLC
NPI #1760646715 in Hackensack, Minnesota
Provider Information
- NPI Number
- 1760646715
- Entity Type
- Organization
- Organization Name
- Birch Lake Counseling LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jul 17, 2008
- Last Updated
- Sep 25, 2012
Practice Location
- Address
- 122 1ST ST. N.
- City
- Hackensack
- State
- Minnesota
- ZIP Code
- 56452-0471
- Phone
- (218) 675-5101
Authorized Official
- Name
- MS. CAROL E. HORSAGER, LMFT
- Title
- OWNER
- Phone
- (218) 675-5101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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