Organization
LAKESIDE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN MULLER MA (OWNER)
(414) 530-0884
Entity
Organization
Contact information
Practice address
2073 W WAYZATA BLVD STE 200, LONG LAKE, MN 55356-4520
(414) 530-0884
Mailing address
2073 W WAYZATA BLVD STE 200, LONG LAKE, MN 55356-4520
(414) 530-0884
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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