Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW VANDEN BROEKE, MA LAMFT
Active Sole ProprietorANDREW VANDEN BROEKE, MA LAMFT is a Adolescent and Children Mental Health Clinic healthcare provider located in BLOOMINGTON, Minnesota. NPI 1114594546 is currently active in the NPPES registry. Verify at CMS.
Adolescent and Children Mental Health Clinic · BLOOMINGTON, MN
Registration Details
- NPI Number
- 1114594546
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 4, 2021 (5.1506437242187 yrs)
- Last Updated
- Jun 4, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
1354 DEVONSHIRE CURVBLOOMINGTON, MN, 554315002Browse MN providers · Browse ZIP 55431
- Phone
- 3038032573
- Primary Specialty
-
Adolescent and Children Mental Health Clinic
261QM0855X
Other Adolescent and Children Mental Health Clinic Providers in BLOOMINGTON, MN
| Name | Credential | NPI |
|---|---|---|
| AMANDA MARIE DOUGHERTY | — | 1033958848 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.