| Lake Superior Counseling Center | |
|
324 W Superior St Ste 915 Duluth MN 55802-1837 | |
| (218) 464-6753 | |
| (218) 464-6753 |
| Full Name | Lake Superior Counseling Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 324 W Superior St Ste 915, Duluth, Minnesota |
| Authorized Official Name and Position | Mari Trine (OWNER) |
| Authorized Official Contact | 2185903506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Superior Counseling Center 324 W Superior St Ste 915 Duluth MN 55802-1837 Ph: (218) 464-6753 | Lake Superior Counseling Center 324 W Superior St Ste 915 Duluth MN 55802-1837 Ph: (218) 464-6753 |
| NPI Number | 1134715618 |
|---|---|
| Provider Enumeration Date | 12/18/2020 |
| Last Update Date | 12/18/2020 |
| Certification Date | 12/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134715618 | NPI | - | NPPES |
| 1689044620 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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