| Brain Bleach Counseling PLLC | |
|
1851 Ladbrook Ln Saint Cloud MN 56303-4849 | |
| (712) 392-0953 | |
| Not Available |
| Full Name | Brain Bleach Counseling PLLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1851 Ladbrook Ln, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Matthew David Hansen (PRINCIPLE) |
| Authorized Official Contact | 7123920953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Bleach Counseling PLLC 1851 Ladbrook Ln Saint Cloud MN 56303-4849 Ph: (712) 392-0953 | Brain Bleach Counseling PLLC 1851 Ladbrook Ln Saint Cloud MN 56303-4849 Ph: (712) 392-0953 |
| NPI Number | 1043170236 |
|---|---|
| Provider Enumeration Date | 11/12/2025 |
| Last Update Date | 11/12/2025 |
| Certification Date | 11/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043170236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
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