Individual
LORA J BERTELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1868 STONE LAKE RD NW, WILTON, MN 56601
(218) 556-2858
(888) 375-3627
Mailing address
1868 STONE LAKE RD NW, WILTON, MN 56601-5679
(218) 556-2858
(888) 375-3627
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
4416
MN
Other
Enumeration date
05/08/2008
Last updated
03/11/2019
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