Individual
CATHY LIANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSLP
Contact information
Practice address
4820 COUNTY ROAD 77, NISSWA, MN 56468-2708
(218) 821-4923
(218) 961-4923
Mailing address
PO BOX 68, NISSWA, MN 56468-0068
(218) 821-4923
(218) 961-4923
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC1900X
Counseling Psychologist
Primary
LP1535
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103209
HEALTH PARTNERS
MN
01
—
111780
UCARE
MN
01
—
6201430
UBH MEDICA
MN
01
—
801312
ARAZ
MN
01
—
8H059LI
BCBS
MN
05
—
969050600
—
MN
Enumeration date
07/25/2006
Last updated
03/21/2024
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