| Lighthouse Counseling, Cathy Liane, M.s.l.p.,llc | |
|
4820 County Road 77 Ste 2 Nisswa MN 56468-2708 | |
| (218) 821-4923 | |
| (218) 961-4923 |
| Full Name | Lighthouse Counseling, Cathy Liane, M.s.l.p.,llc |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 4820 County Road 77 Ste 2, Nisswa, Minnesota |
| Authorized Official Name and Position | Cathy Sue Liane (OWNER & LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2188214923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Counseling, Cathy Liane, M.s.l.p.,llc Po Box 68 Nisswa MN 56468-0068 Ph: (218) 821-4923 | Lighthouse Counseling, Cathy Liane, M.s.l.p.,llc 4820 County Road 77 Ste 2 Nisswa MN 56468-2708 Ph: (218) 821-4923 |
| NPI Number | 1457189359 |
|---|---|
| Provider Enumeration Date | 07/23/2024 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457189359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
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