Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROOKE MIMMACK, MA
Active Sole ProprietorBROOKE MIMMACK, MA is a Professional Counselor healthcare provider located in BAXTER, Minnesota. NPI 1750087615 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · BAXTER, MN
Registration Details
- NPI Number
- 1750087615
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 2, 2023 (3.4999502467295 yrs)
- Last Updated
- Feb 2, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
13045 FALCON DR STE 100BAXTER, MN, 564254201Browse MN providers · Browse ZIP 56425
- Phone
- 2188299207
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in BAXTER, MN
| Name | Credential | NPI |
|---|---|---|
| REBECCA LYNN GATTON | MS, LPC | 1548286636 |
| STEVEN RAY GATTON | MS, LPCC | 1447268891 |
| MICHAEL J KOEHLER | MA, LPCC | 1871988048 |
| ALESHA KETTER | M.S., LPCC | 1306290218 |
| JOSHUA GOEMAAT | — | 1972322451 |
| NICOLE HASSE | LPCC | 1841001666 |
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.