Individual
LAWRENCE LOWELL SEDLACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
2497 7TH AVENUE E., STE 101, NORTH ST. PAUL, MN 55109-2946
(651) 769-6437
(651) 769-6599
Mailing address
2497 7TH AVENUE E., STE 101, NORTH ST. PAUL, MN 55109-2946
(651) 769-6437
(651) 769-6599
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305266
MN
101YM0800X
Mental Health Counselor
CC03838
MN
101YP2500X
Professional Counselor
Primary
CC03838
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205557491
—
MN
Enumeration date
01/03/2019
Last updated
05/31/2024
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