Healthcare Provider Details

I. General information

NPI: 1295202018
Provider Name (Legal Business Name): NORTHBROOK COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2018
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5107 E SUPERIOR ST
DULUTH MN
55804-2475
US

IV. Provider business mailing address

5107 E SUPERIOR ST
DULUTH MN
55804-2475
US

V. Phone/Fax

Practice location:
  • Phone: 218-461-1693
  • Fax:
Mailing address:
  • Phone: 218-461-1693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: RACHEL G ASHFORD
Title or Position: LICSW
Credential: LICSW
Phone: 218-461-1693