Organization
LOVE & LIGHT COUNSELING, LLC
Active
Organization
LOVE & LIGHT COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE ANN LOUISE SHAW LICSW (OWNER)
(612) 208-8085
Entity
Organization
Contact information
Practice address
690 HUMBOLDT DR STE I&K, BIG LAKE, MN 55309-4812
(612) 208-8085
Mailing address
4050 147TH LN NW, ANDOVER, MN 55304-3124
(612) 208-8085
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
11/11/2024
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