Organization
GENERATIONS, INC COUNSELING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK CARL LYSNE PH.D., LP (PSYCHOLOGIST)
(218) 998-3123
Entity
Organization
Contact information
Practice address
225 W CAVOUR AVE, FERGUS FALLS, MN 56537-2103
(218) 998-3123
(218) 998-3126
Mailing address
225 W CAVOUR AVE, FERGUS FALLS, MN 56537-2103
(218) 998-3123
(218) 998-3126
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
00257
MN
103TC0700X
Clinical Psychologist
Primary
4575
MN
Other
Enumeration date
07/15/2006
Last updated
05/02/2013
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