| Life Counseling Duluth | |
|
4501 Glenwood St Duluth MN 55804-1258 | |
| (218) 209-2930 | |
| Not Available |
| Full Name | Life Counseling Duluth |
|---|---|
| Speciality | Counselor |
| Location | 4501 Glenwood St, Duluth, Minnesota |
| Authorized Official Name and Position | Laura Halvorsen Fregard (OWNER) |
| Authorized Official Contact | 2182092930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Counseling Duluth 4501 Glenwood St Duluth MN 55804-1258 Ph: (218) 209-2930 | Life Counseling Duluth 4501 Glenwood St Duluth MN 55804-1258 Ph: (218) 209-2930 |
| NPI Number | 1336975473 |
|---|---|
| Provider Enumeration Date | 09/13/2024 |
| Last Update Date | 12/26/2024 |
| Certification Date | 12/26/2024 |
| Medicare PECOS PAC ID | 5799212270 |
|---|---|
| Medicare Enrollment ID | O20241223000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336975473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Laura Janet Halvorsen Fregard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538842331 PECOS PAC ID: 6608303185 Enrollment ID: I20241226000645 |
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