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Organization

LOREN E. NOVAK & ASSOCIATES, INC.

Active
Other names
Lifestyle Counseling Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM M. WALBERG LADC (EXECUTIVE DIRECTOR)
(952) 447-1117
Entity
Organization

Contact information

Practice address
14162 COMMERCE AVE NE, SUITE 400, PRIOR LAKE, MN 55372-1480
(952) 447-1117
(952) 447-1116
Mailing address
14162 COMMERCE AVE NE, SUITE 400, PRIOR LAKE, MN 55372-1480
(952) 447-1117
(952) 447-1116

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
810953-1
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103171
U-CARE
MN
01
1601
HEALTH PARTNERS
MN
01
8451554
UNITED BEHAVIOR HEALTH
MN
01
9105LI
BC/BS
MN
01
NA
CIGNA
MN
Enumeration date
10/17/2006
Last updated
07/10/2007
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