| Breaking Forth Counseling Llc | |
|
53998 Dakota Ln North Mankato MN 56003-4117 | |
| (612) 997-0264 | |
| Not Available |
| Full Name | Breaking Forth Counseling Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 53998 Dakota Ln, North Mankato, Minnesota |
| Authorized Official Name and Position | Jessica Lynn Smith (OWNER) |
| Authorized Official Contact | 6129970264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking Forth Counseling Llc 53998 Dakota Ln North Mankato MN 56003-4117 Ph: (612) 997-0264 | Breaking Forth Counseling Llc 53998 Dakota Ln North Mankato MN 56003-4117 Ph: (612) 997-0264 |
| NPI Number | 1740133891 |
|---|---|
| Provider Enumeration Date | 02/18/2026 |
| Last Update Date | 02/18/2026 |
| Certification Date | 02/18/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740133891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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