Organization
LAKEVILLE BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE KNUTE LOKKESMOE M.A. (LICENSED PSYCHOLOGIST)
(952) 435-0022
Entity
Organization
Contact information
Practice address
10535 165TH ST W, LAKEVILLE, MN 55044-5729
(952) 435-0022
(952) 435-0095
Mailing address
10535 165TH ST W, LAKEVILLE, MN 55044-5729
(952) 435-0022
(952) 435-0095
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
LP1249
MN
103TB0200X
Cognitive & Behavioral Psychologist
Primary
LP3587
MN
Other
Enumeration date
03/09/2007
Last updated
07/03/2008
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