| Lifesplace Counseling, Consulting And Coaching | |
|
450 Jefferson Blvd Ste 4 Big Lake MN 55309-1902 | |
| (763) 631-6325 | |
| Not Available |
| Full Name | Lifesplace Counseling, Consulting And Coaching |
|---|---|
| Speciality | Counselor |
| Location | 450 Jefferson Blvd Ste 4, Big Lake, Minnesota |
| Authorized Official Name and Position | Diane Lisa Neal (OWNER) |
| Authorized Official Contact | 7632035550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifesplace Counseling, Consulting And Coaching 29607 139th St Nw Princeton MN 55371-3688 Ph: (763) 203-5550 | Lifesplace Counseling, Consulting And Coaching 450 Jefferson Blvd Ste 4 Big Lake MN 55309-1902 Ph: (763) 631-6325 |
| NPI Number | 1790409639 |
|---|---|
| Provider Enumeration Date | 10/03/2022 |
| Last Update Date | 10/03/2022 |
| Certification Date | 10/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790409639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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