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Individual

LAUREL ELLEN HILLSTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
624 S. 13TH ST., VIRGINIA, MN 55792
(218) 749-2881
(218) 749-3806
Mailing address
P.O. BOX 1188, 624 S. 13TH ST., VIRGINIA, MN 55792
(218) 749-2881
(218) 749-3806

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC00653
MN

Other

Enumeration date
11/15/2013
Last updated
11/15/2013
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