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General NPI Number Information
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NPI Number | 1851271639
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Entity Type | Individual
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Provider Name | BRYAN EDWARD GARCIA LPCC
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Gender | Male
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 6230 10TH ST N STE 220
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City | OAKDALE
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State | MN
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Zip | 55128-6160
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Country | US
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Telephone | 651-755-4276
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Fax | 888-972-5307
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Provider Business Mailing Address
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Address Line | 6438 RIVERDALE DR NW
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City | RAMSEY
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State | MN
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Zip | 55303-4809
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Country | US
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Telephone | 651-755-4276
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Fax | 888-972-5307
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5172
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License Number State | MN
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