Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Birch Lake Professional Counseling Group, Inc

Organization Professional Counselor · NPI 1386863793

Birch Lake Professional Counseling Group, Inc is a Professional Counselor in White Bear Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1310 Highway 96 E Ste 104B
White Bear Lake, MN 55110-3624
Phone: (651) 653-1925
Fax: (651) 653-1956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 00133 (MN)

Record details

NPI number1386863793
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joe Gladden — Managing Director · (651) 653-1925
NPI enumeratedApril 24, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1310 Highway 96 E, Suite 104b, White Bear Lake, MN 55110-3624

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