| Lake View Counseling, Pllc | |
|
11670 Fountains Dr Ste 200 Maple Grove MN 55369-7195 | |
| (763) 200-4055 | |
| Not Available |
| Full Name | Lake View Counseling, Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 11670 Fountains Dr Ste 200, Maple Grove, Minnesota |
| Authorized Official Name and Position | Marie Odegaard (OWNER) |
| Authorized Official Contact | 7632004055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake View Counseling, Pllc 11670 Fountains Dr Ste 200 Maple Grove MN 55369-7195 Ph: () - | Lake View Counseling, Pllc 11670 Fountains Dr Ste 200 Maple Grove MN 55369-7195 Ph: (763) 200-4055 |
| NPI Number | 1417796202 |
|---|---|
| Provider Enumeration Date | 05/21/2024 |
| Last Update Date | 05/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417796202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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