| Love & Light Counseling, Llc | |
|
690 Humboldt Dr Ste I&k Big Lake MN 55309-4812 | |
| (612) 840-9735 | |
| Not Available |
| Full Name | Love & Light Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 690 Humboldt Dr Ste I&k, Big Lake, Minnesota |
| Authorized Official Name and Position | Katie Ann Louise Shaw (OWNER) |
| Authorized Official Contact | 6122088085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Love & Light Counseling, Llc 4050 147th Ln Nw Andover MN 55304-3124 Ph: (612) 840-9735 | Love & Light Counseling, Llc 690 Humboldt Dr Ste I&k Big Lake MN 55309-4812 Ph: (612) 840-9735 |
| NPI Number | 1427876028 |
|---|---|
| Provider Enumeration Date | 10/01/2024 |
| Last Update Date | 10/02/2024 |
| Certification Date | 10/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427876028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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