Individual
LORI VIGESAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NCC, CI/CT, LPCC
Contact information
Practice address
12980 CAROW CIR, FRAZEE, MN 56544-8604
(218) 343-8792
Mailing address
220 RAILROAD ST SE, PINE CITY, MN 55063-1540
(218) 343-8792
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC02373
MN
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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