Individual
KATHLEEN CAROL LOFQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1700 BROADWAY ST STE 2, ALEXANDRIA, MN 56308-2792
(320) 763-0124
Mailing address
1117 RIDGEWAY DR, ALEXANDRIA, MN 56308-2314
(320) 762-2012
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301371
MN
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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