Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 304569 | MN |
Y | 101YP2500X | Professional Counselor | 1527 | MN |
N | 101YS0200X | School Counselor | 486257 | MN |
NPI | 1134666381 |
---|---|
Provider Name | Elizabeth Bester Mihalchick |
First Address | Brooklyn Center, MN 55430-2322 |
Second Address | Brooklyn Center, MN 55430-2322 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2017 |
Last Update Date | 21/07/2020 |