Organization
LAKES COUNSELING, COACHING AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH MARIE HOLWELL (OWNER/PSYCHOTHERAPIST)
(612) 470-9297
Entity
Organization
Contact information
Practice address
101 LAKE ST W STE 230, WAYZATA, MN 55391-1578
(612) 470-9297
Mailing address
101 LAKE ST W, WAYZATA, MN 55391-1576
(612) 470-9297
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
09/16/2021
Last updated
09/16/2021
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