Provider Demographics
NPI:1891371050
Name:JUNIPER COUNSELING, PLLC
Entity Type:Organization
Organization Name:JUNIPER COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MADELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FALK
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:608-656-2668
Mailing Address - Street 1:3817 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ST BONIFACIUS
Mailing Address - State:MN
Mailing Address - Zip Code:55375-1134
Mailing Address - Country:US
Mailing Address - Phone:608-658-2668
Mailing Address - Fax:
Practice Address - Street 1:3387 BROWNLOW AVE STE 110
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55426-4271
Practice Address - Country:US
Practice Address - Phone:612-416-4384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-19
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty