| Lola Marie Booth, LADC | |
|
921 8th St Se, Detroit Lakes, MN 56501-2840 | |
| (218) 844-9730 | |
| Not Available |
| Full Name | Lola Marie Booth |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 921 8th St Se, Detroit Lakes, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093480949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 305800 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lola Marie Booth, LADC 921 8th Street Southeast, Detroit Lakes, MN 56501-4219 Ph: (218) 844-9730 | Lola Marie Booth, LADC 921 8th St Se, Detroit Lakes, MN 56501-2840 Ph: (218) 844-9730 |
Whitney Kaytlin Warren, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 8th St Se, Detroit Lakes, MN 56501 Phone: 218-844-9729 Fax: 218-844-7754 | |
Angela D Horner, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1301 Roosevelt Ave, Detroit Lakes, MN 56501 Phone: 218-847-4491 | |
Mrs. Erica Yvonne Hanson, MS, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 211 Holmes St W Ste 302, Detroit Lakes, MN 56501 Phone: 218-847-0629 | |
Colton John Friesen, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 928 8th St Se, Detroit Lakes, MN 56501 Phone: 218-847-1676 | |
Jessica Rae Moench, BS, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 8th St Se, Detroit Lakes, MN 56501 Phone: 218-847-0696 Fax: 218-847-4198 | |
Krystal Marie Ramirez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 28579 Us Highway 10, Detroit Lakes, MN 56501 Phone: 218-847-1329 |