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BRIDGIT PANKONIN LPC NPI 1346634094


NPI Information

NPI: 1346634094
Provider Name: BRIDGIT PANKONIN, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
155 2ND AVE SW
PERHAM, MN
ZIP 56573
Phone: (218) 422-6131
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Bridgit Pankonin, LPC is a professional counselor in Perham, MN. Bridgit Pankonin, LPC NPI is 1346634094. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

155 2ND AVE SW
PERHAM, MN
ZIP 56573-717
Phone: (218) 422-6131

The enumeration date for this NPI number is 3/20/2015 and was last updated on 3/20/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional01656MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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