Individual
LISA A HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1331 COUNTY ROAD D E, VADNAIS HEIGHTS, MN 55109
(651) 587-3542
Mailing address
5441 128TH ST N, HUGO, MN 55038-8485
(651) 587-3542
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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