Individual
MRS. SAUNDRA O LAIDLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LADC, LPCC
Contact information
Practice address
1411 W SAINT GERMAIN ST STE 201, SAINT CLOUD, MN 56301-4121
(320) 402-4747
(320) 774-1979
Mailing address
PO BOX 803, SAINT CLOUD, MN 56302-0803
(320) 402-4747
(320) 774-1979
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303552
MN
101YM0800X
Mental Health Counselor
Primary
CC03060
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004550693
BLUE SHIELD
MN
05
—
1316362734
—
MN
Enumeration date
02/21/2014
Last updated
07/29/2024
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