Individual
TIFFANY LASCHKEWITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., LP, LADC
Contact information
Practice address
2217 NICOLLET AVE, MINNEAPOLIS, MN 55404-3382
(612) 326-3486
Mailing address
2217 NICOLLET AVE, MINNEAPOLIS, MN 55404-3382
(612) 326-3486
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303601
MN
103TC0700X
Clinical Psychologist
Primary
LP5746
MN
Other
Enumeration date
12/01/2014
Last updated
03/21/2024
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