Provider Demographics
NPI:1881476752
Name:BIRKELAND, MARGARET (MA)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:BIRKELAND
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:GILLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:1303 OAK ST W
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-5571
Mailing Address - Country:US
Mailing Address - Phone:952-412-0846
Mailing Address - Fax:
Practice Address - Street 1:1903 GREELEY ST S STE 202
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-6279
Practice Address - Country:US
Practice Address - Phone:612-390-5503
Practice Address - Fax:651-390-5503
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty