Individual
LISA ANN AGRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
328 3RD ST SW, WILLMAR, MN 56201-3475
(320) 231-9763
(320) 235-0334
Mailing address
1011 30TH ST NW UNIT 312, WILLMAR, MN 56201-4765
(320) 979-2033
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306344
MN
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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