Provider Demographics
NPI:1114220118
Name:VAL BROSTE, COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:VAL BROSTE, COUNSELING SERVICES, LLC
Other - Org Name:MARKETPLACE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER & PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:VAL
Authorized Official - Middle Name:
Authorized Official - Last Name:BROSTE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:320-253-4080
Mailing Address - Street 1:110 2ND ST S STE 303
Mailing Address - Street 2:
Mailing Address - City:WAITE PARK
Mailing Address - State:MN
Mailing Address - Zip Code:56387-1314
Mailing Address - Country:US
Mailing Address - Phone:320-253-4080
Mailing Address - Fax:320-253-4088
Practice Address - Street 1:110 2ND ST S STE 303
Practice Address - Street 2:
Practice Address - City:WAITE PARK
Practice Address - State:MN
Practice Address - Zip Code:56387-1314
Practice Address - Country:US
Practice Address - Phone:320-253-4080
Practice Address - Fax:320-253-4088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN316251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health