| NPI | 1205904612 |
|---|---|
| Doing Business As | DBA LAKES AREA COUNSELING |
| Entity Type | Organization |
| Authorized Contact | AMY HAIDER Credentialing Manager 320-639-1425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2022-05-20 |