Lifesplace Counseling, Consulting And Coaching | |
450 Jefferson Blvd Ste 4 Big Lake MN 55309-1902 | |
(763) 631-6325 | |
Not Available |
Full Name | Lifesplace Counseling, Consulting And Coaching |
---|---|
Speciality | Counselor |
Location | 450 Jefferson Blvd Ste 4, Big Lake, Minnesota |
Authorized Official Name and Position | Diane Lisa Neal (OWNER) |
Authorized Official Contact | 7632035550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lifesplace Counseling, Consulting And Coaching 29607 139th St Nw Princeton MN 55371-3688 Ph: (763) 203-5550 | Lifesplace Counseling, Consulting And Coaching 450 Jefferson Blvd Ste 4 Big Lake MN 55309-1902 Ph: (763) 631-6325 |
NPI Number | 1790409639 |
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Provider Enumeration Date | 10/03/2022 |
Last Update Date | 10/03/2022 |
Certification Date | 10/03/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790409639 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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