Provider Demographics
NPI:1588092886
Name:BJORKLUND, MEGAN MCMANUS (LPCC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:MCMANUS
Last Name:BJORKLUND
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:MCMANUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9800 SHELARD PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55441-6451
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9800 SHELARD PKWY STE 110
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55441-6451
Practice Address - Country:US
Practice Address - Phone:612-298-7131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-23
Last Update Date:2020-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2064101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional