| Lakes Counseling Center | |
|
1000 8th St Se Detroit Lakes MN 56501-2838 | |
| (218) 847-0696 | |
| (218) 847-4198 |
| Full Name | Lakes Counseling Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1000 8th St Se, Detroit Lakes, Minnesota |
| Authorized Official Name and Position | Jackie Mary Pederson (OFFICE MANGER) |
| Authorized Official Contact | 2188470696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakes Counseling Center 1000 8th St Se Detroit Lakes MN 56501-2838 Ph: (218) 847-0696 | Lakes Counseling Center 1000 8th St Se Detroit Lakes MN 56501-2838 Ph: (218) 847-0696 |
| NPI Number | 1861497190 |
|---|---|
| Provider Enumeration Date | 06/14/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861497190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Minnesota) | Primary |
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