Latarsha Nicole Bronaugh, LPCC
Counselor in Oakdale, MN. Individual provider (NPI-1).
NPI number1902255441
StatusActive
Last updated in NPPESJun 25, 2024
Details
- NPI
- 1902255441
- Entity type
- Individual (NPI-1)
- Name
- Latarsha Nicole Bronaugh
- Credential
- LPCC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2016
- Certification date
- Jun 25, 2024
- Last updated
- Jun 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | MN | Yes |
Practice location
7066 Stillwater Blvd NOakdale, MN 55128-3937
Phone 651-777-5222
Mailing address
7066 Stillwater Blvd NOakdale, MN 55128-3937
Phone 651-777-5222 · Fax 833-207-0304
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