Provider Demographics
NPI:1134317175
Name:GARLICH, JOANNE P (MS, LPCC)
Entity Type:Individual
Prefix:MISS
First Name:JOANNE
Middle Name:P
Last Name:GARLICH
Suffix:
Gender:F
Credentials:MS, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 W 35TH ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-4602
Mailing Address - Country:US
Mailing Address - Phone:651-968-7822
Mailing Address - Fax:612-823-8438
Practice Address - Street 1:615 W 35TH ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-4602
Practice Address - Country:US
Practice Address - Phone:651-968-7822
Practice Address - Fax:612-823-8438
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00051475101Y00000X
MN00322101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor