| Green Bird Counseling | |
|
4175 Lovell Rd #107 Circle Pines MN 55014-3500 | |
| (612) 267-6194 | |
| Not Available |
| Full Name | Green Bird Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4175 Lovell Rd, Circle Pines, Minnesota |
| Authorized Official Name and Position | Amber Lee Cardinal (OWNER/THERAPIST) |
| Authorized Official Contact | 6122676194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Bird Counseling 4175 Lovell Rd #107 Circle Pines MN 55014-3500 Ph: (612) 267-6194 | Green Bird Counseling 4175 Lovell Rd #107 Circle Pines MN 55014-3500 Ph: (612) 267-6194 |
| NPI Number | 1730507518 |
|---|---|
| Provider Enumeration Date | 03/31/2014 |
| Last Update Date | 05/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730507518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPCC 779 (Minnesota) | Primary |
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