Individual
RENEE A. M. LOUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4408 BLOOMINGTON AVE, MINNEAPOLIS, MN 55407-3659
(952) 215-9891
Mailing address
4408 BLOOMINGTON AVE, MINNEAPOLIS, MN 55407-3659
(952) 215-9891
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
02603
MN
101YM0800X
Mental Health Counselor
Primary
CC03563
MN
Other
Enumeration date
09/26/2022
Last updated
10/09/2022
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