| Generations, Inc Counseling Associates | |
|
225 W Cavour Ave Fergus Falls MN 56537-2103 | |
| (218) 998-3123 | |
| (218) 998-3126 |
| Full Name | Generations, Inc Counseling Associates |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 225 W Cavour Ave, Fergus Falls, Minnesota |
| Authorized Official Name and Position | Mark Carl Lysne (PSYCHOLOGIST) |
| Authorized Official Contact | 2189983123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations, Inc Counseling Associates 225 W Cavour Ave Fergus Falls MN 56537-2103 Ph: (218) 998-3123 | Generations, Inc Counseling Associates 225 W Cavour Ave Fergus Falls MN 56537-2103 Ph: (218) 998-3123 |
| NPI Number | 1780600189 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 05/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780600189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 00257 (Minnesota) | Secondary |
| 103TC0700X | Psychologist - Clinical | 4575 (Minnesota) | Primary |
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