| Kristy Brecke | |
|
2130 Cliff Rd Ste 200 Eagan MN 55122-2487 | |
| (651) 206-5783 | |
| Not Available |
| Full Name | Kristy Brecke |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2130 Cliff Rd Ste 200, Eagan, Minnesota |
| Authorized Official Name and Position | Kristy Lynne Brecke (THERAPIST/OWNER) |
| Authorized Official Contact | 6512065783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristy Brecke 2130 Cliff Rd Ste 200 Eagan MN 55122-2487 Ph: (651) 206-5783 | Kristy Brecke 2130 Cliff Rd Ste 200 Eagan MN 55122-2487 Ph: (651) 206-5783 |
| NPI Number | 1366955254 |
|---|---|
| Provider Enumeration Date | 11/14/2017 |
| Last Update Date | 11/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366955254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 00011 (Minnesota) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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