IndividualActive
Andrew Vanden Broeke, MA LAMFT
NPI 1114594546 · Adolescent and Children Mental Health Clinic/Center · Bloomington, MN
Provider details
- NPI number
- 1114594546
- Entity type
- Individual
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Credential
- MA LAMFT
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1354 Devonshire Curv
Bloomington, MN 55431-5002
Phone: (303) 803-2573
Approximate (ZIP-level) locationGet directions
Mailing address
1354 Devonshire Curv
Bloomington, MN 55431-5002
Registry dates
- Enumerated
- 2021-06-04
- Last updated
- 2021-06-04
- Certified
- 2021-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.