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 provides Professional Counselor services 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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