Individual
TRACEY ANNE LEXVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3203 3RD AVE W, HIBBING, MN 55746-2406
(218) 263-9237
Mailing address
3203 3RD AVE W, HIBBING, MN 55746-2406
(218) 263-9237
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC03350
MN
Other
Enumeration date
08/05/2022
Last updated
03/22/2024
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