Lakeside Counseling | |
2073 W Wayzata Blvd Ste 200 Long Lake MN 55356-4520 | |
(414) 530-0884 | |
Not Available |
Full Name | Lakeside Counseling |
---|---|
Speciality | Counselor - Professional |
Location | 2073 W Wayzata Blvd Ste 200, Long Lake, Minnesota |
Authorized Official Name and Position | Kathryn Muller (OWNER) |
Authorized Official Contact | 4145300884 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lakeside Counseling 2073 W Wayzata Blvd Ste 200 Long Lake MN 55356-4520 Ph: (414) 530-0884 | Lakeside Counseling 2073 W Wayzata Blvd Ste 200 Long Lake MN 55356-4520 Ph: (414) 530-0884 |
NPI Number | 1457045452 |
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Provider Enumeration Date | 06/05/2023 |
Last Update Date | 06/05/2023 |
Certification Date | 06/05/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457045452 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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