| Lori Ann Wagner, LPCC | |
|
11334 86th Ave N, Maple Grove, MN 55369-4528 | |
| (763) 255-2125 | |
| (763) 255-2126 |
| Full Name | Lori Ann Wagner |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 11334 86th Ave N, Maple Grove, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538542246 | NPI | - | NPPES |
| 1538542246 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CC01011 (Minnesota) | Secondary |
| 101YP2500X | Counselor - Professional | CC01011 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Ann Wagner, LPCC 615 1st Ave Ne Ste 310, Minneapolis, MN 55413-2419 Ph: (612) 436-0295 | Lori Ann Wagner, LPCC 11334 86th Ave N, Maple Grove, MN 55369-4528 Ph: (763) 255-2125 |
Sarah Nicole Olson Venning, LICSW Counselor Medicare: Medicare Enrolled Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 651-600-0342 |
Daniel Knudson, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-274-3120 Fax: 763-274-3121 |
Blake Malloy, Counselor Medicare: May Accept Medicare Assignments Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-274-3120 Fax: 763-274-3121 |
Alysha Kvam, Counselor Medicare: Medicare Enrolled Practice Location: 12918 63rd Ave N, Maple Grove, MN 55369 Phone: 763-210-9966 |
Barbara Wormington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10650 County Road 81 Ste N, Maple Grove, MN 55369 Phone: 417-529-3250 |
Julie Bosacker, Counselor Medicare: Accepting Medicare Assignments Practice Location: 11670 Fountains Dr Ste 200, Maple Grove, MN 55369 Phone: 763-229-7633 |
Valerie Dean, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7835 Main St N Ste 220, Maple Grove, MN 55369 Phone: 763-400-7475 Fax: 763-400-7473 |