Individual
TIA LOUISE MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1457 CANTERBURY PL SE, OWATONNA, MN 55060-4601
(507) 676-0496
Mailing address
1457 CANTERBURY PL SE, OWATONNA, MN 55060-4601
(507) 676-0496
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MN
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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