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Organization
LAKESIDE MENTAL HEALTH
Active
Organization
LAKESIDE MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATI KLITZKE PSYD, LP (LICENSED CLINICAL PSYCHOLOGIST)
(320) 640-2980
Entity
Organization
Contact information
Practice address
45 WASHINGTON AVE E, HUTCHINSON, MN 55350-2574
(320) 640-2980
(320) 640-3029
Mailing address
65506 210TH ST, LITCHFIELD, MN 55355-5744
(320) 640-2980
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750746715
NPI
—
Enumeration date
12/20/2021
Last updated
02/18/2025
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