Mrs Tabitha Soderstrom, MS - Counselor in White Bear Lake, MN

Mrs Tabitha Soderstrom, MS is a Counselor - Mental Health based in White Bear Lake, Minnesota. Mrs Tabitha Soderstrom is licensed to practice in * (Not Available) (license number ) and her current practice location is 3596 Linden Ave, White Bear Lake, Minnesota. She can be reached at her office (for appointments etc.) via phone at (507) 215-2459.

NPI number for Mrs Tabitha Soderstrom is 1013556166 and her current mailing address is 453 Cimarron, Lake Elmo, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013556166.

Contact Information

Mrs Tabitha Soderstrom, MS
3596 Linden Ave,
White Bear Lake, MN 55110-4693
(507) 215-2459
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMrs Tabitha Soderstrom
GenderFemale
SpecialityCounselor - Mental Health
Location3596 Linden Ave, White Bear Lake, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013556166
  • Provider Enumeration Date: 01/06/2020
  • Last Update Date: 01/06/2020

Medical Identifiers

Medical identifiers for Mrs Tabitha Soderstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013556166NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tabitha Soderstrom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Tabitha Soderstrom, MS
453 Cimarron,
Lake Elmo, MN 55042-9621

Ph: (507) 215-2459
Mrs Tabitha Soderstrom, MS
3596 Linden Ave,
White Bear Lake, MN 55110-4693

Ph: (507) 215-2459

Reviews and Comments


Counselor in White Bear Lake, MN

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