Individual
MS. LISA R VANDERVEEN-NAGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPCC, LICSW
Contact information
Practice address
2208 JEAN WAY, NEW MARKET, MN 55054-5421
(952) 461-4470
Mailing address
570 PROFESSIONAL DR, NORTHFIELD, MN 55057-2756
(507) 301-3412
(507) 301-3308
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
375
MN
Other
Enumeration date
09/17/2012
Last updated
09/01/2021
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