Individual
MRS. LISA JOY DECATHELINEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1234 MN-7, MONTEVIDEO, MN 56265
(320) 269-4581
Mailing address
220 230TH AVE NW, APPLETON, MN 56208-1828
(320) 235-4613
(320) 231-9140
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1094
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033823
PREFERRED ONE
—
01
—
172691
UCARE
—
01
—
374J68T
BLUE CROSS
—
05
—
801929100
—
MN
Enumeration date
12/06/2006
Last updated
02/12/2020
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