Individual
CHARLOTTE ANN LOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC, LADC
Contact information
Practice address
821 W SAINT GERMAIN ST, SAINT CLOUD, MN 56301-3536
(320) 259-5381
Mailing address
1026 MEADOWS DR, SAUK RAPIDS, MN 56379-2572
(812) 267-8656
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
306052
MN
101YM0800X
Mental Health Counselor
Primary
CC04367
MN
Other
Enumeration date
06/21/2021
Last updated
04/22/2024
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