Individual
COURTNEY MARIE BAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. LMFT
Contact information
Practice address
11549 LAKE LN STE 2, CHISAGO CITY, MN 55013-9201
(651) 257-2733
Mailing address
11549 LAKE LN STE 2, CHISAGO CITY, MN 55013-9201
(651) 257-2733
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2918
MN
Other
Enumeration date
03/15/2016
Last updated
06/24/2020
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