Organization
LAKES COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL WASSENAAR LISW (OWNER/OUTPT THERAPIST)
(512) 230-3919
Entity
Organization
Contact information
Practice address
507 18TH STREET SUITE A, SPIRIT LAKE, IA 51360
(512) 230-3919
Mailing address
507 18TH STREET SUITE A, SPIRIT LAKE, IA 51360
(512) 230-3919
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427280775
—
IA
Enumeration date
06/11/2019
Last updated
06/11/2019
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