OrganizationActive
Birch Lake Professional Counseling Group, Inc.
NPI 1386863793 · Professional Counselor · White Bear Lake, MN
Provider details
- NPI number
- 1386863793
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Joe Gladden, Managing Director(651) 653-1925
- License
- 00133 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1310 Highway 96 E
Suite 104b
White Bear Lake, MN 55110-3624
Phone: (651) 653-1925
Fax: (651) 653-1956
Approximate (ZIP-level) locationGet directions
Mailing address
1310 Highway 96 E
White Bear Lake, MN 55110-3624
Registry dates
- Enumerated
- 2007-04-24
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.