Individual
AMELIA LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
120 LABREE AVE S, THIEF RIVER FALLS, MN 56701-2819
(218) 683-4351
Mailing address
3415 SE POWELL BLVD., PORTLAND, OR 97202
(503) 234-9591
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
LP6462
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/23/2015
Last updated
10/12/2019
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