Individual
LINDSEY MACKERETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, L.P.C., L.A.D.C
Contact information
Practice address
7117 OHMS LN, EDINA, MN 55439
(651) 505-3456
Mailing address
1741 GLENVIEW AVE, ARDEN HILLS, MN 55112-2817
(651) 505-3456
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304109
MN
101YP2500X
Professional Counselor
Primary
01501
MN
Other
Enumeration date
08/31/2015
Last updated
08/13/2019
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