Individual
LISA MARIE MYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7601 WAYZATA BLVD, MINNEAPOLIS, MN 55426-1805
(612) 223-8898
Mailing address
7601 WAYZATA BLVD, MINNEAPOLIS, MN 55426
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC3227
MN
Other
Enumeration date
03/28/2022
Last updated
10/10/2023
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