Organization
LAKE COUNTRY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEAN KIRCHNER MSW, LICSW (CEO)
(218) 366-9229
Entity
Organization
Contact information
Practice address
515 BRIDGE ST, PARK RAPIDS, MN 56470-1210
(218) 366-9229
Mailing address
515 BRIDGE ST, PARK RAPIDS, MN 56470-1210
(218) 366-9229
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/02/2009
Last updated
02/28/2017
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