| Lakeside Counseling | |
|
2073 W Wayzata Blvd Ste 200 Long Lake MN 55356-4520 | |
| (414) 530-0884 | |
| Not Available |
| Full Name | Lakeside Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2073 W Wayzata Blvd Ste 200, Long Lake, Minnesota |
| Authorized Official Name and Position | Kathryn Muller (OWNER) |
| Authorized Official Contact | 4145300884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Counseling 2073 W Wayzata Blvd Ste 200 Long Lake MN 55356-4520 Ph: (414) 530-0884 | Lakeside Counseling 2073 W Wayzata Blvd Ste 200 Long Lake MN 55356-4520 Ph: (414) 530-0884 |
| NPI Number | 1457045452 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457045452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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