Individual
LISA LYNNE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
215 SE 2ND AVE, GRAND RAPIDS, MN 55744-3615
(218) 313-1144
(218) 326-9787
Mailing address
215 SE 2ND AVE, GRAND RAPIDS, MN 55744-3615
(218) 256-0722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2641
MN
Other
Enumeration date
11/14/2020
Last updated
11/14/2020
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