Organization
LYSNE CONSULTING & COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK CARL LYSNE PHD (PSYCHOLOGIST)
(218) 770-0592
Entity
Organization
Contact information
Practice address
225 W CAVOUR AVE STE C, FERGUS FALLS, MN 56537-2140
(218) 770-0592
(218) 998-3126
Mailing address
225 W CAVOUR AVE STE C, FERGUS FALLS, MN 56537-2140
(218) 770-0592
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
896425400
—
MN
Enumeration date
09/24/2019
Last updated
09/24/2019
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