Organization
LAKES COUNTRY COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN VAGLE LMFT (OWNER)
(218) 454-0878
Entity
Organization
Contact information
Practice address
7251 EXCELSIOR RD, BAXTER, MN 56425
(218) 454-0878
(218) 454-0879
Mailing address
7251 EXCELSIOR RD, BAXTER, MN 56425-8477
(218) 454-0878
(218) 454-0879
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1531
MN
Other
Enumeration date
07/28/2010
Last updated
07/03/2023
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