Organization
LAKE VIEW COUNSELING, PLLC
Active
Organization
LAKE VIEW COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE ODEGAARD (OWNER)
(763) 200-4055
Entity
Organization
Contact information
Practice address
11670 FOUNTAINS DR STE 200, MAPLE GROVE, MN 55369-7195
(763) 200-4055
Mailing address
11670 FOUNTAINS DR STE 200, MAPLE GROVE, MN 55369-7195
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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