Individual
LOWRA MENTELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
7601 WAYZATA BLVD, ST LOUIS PARK, MN 55426-1626
(507) 345-7012
Mailing address
7601 WAYZATA BLVD, ST LOUIS PARK, MN 55426-1626
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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