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Organization
SOLACE BAY COUNSELING ASSOCIATES, LLC
Active
Organization
SOLACE BAY COUNSELING ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILLIE J LARSON LMFT, LPCC (OWNER)
(218) 269-4237
Entity
Organization
Contact information
Practice address
4229 LAVAQUE RD, HERMANTOWN, MN 55811-3672
(218) 269-4237
Mailing address
4229 LAVAQUE RD, HERMANTOWN, MN 55811-3672
(218) 269-4237
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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