Lola Marie Booth, LADC
NPI #1093480949 in Detroit Lakes, Minnesota
Provider Information
- NPI Number
- 1093480949
- Entity Type
- Individual
- Name
- Lola Marie Booth, LADC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LADC
- Enumeration Date
- Aug 12, 2021
- Last Updated
- Oct 3, 2021
Practice Location
- Address
- 921 8TH ST SE
- City
- Detroit Lakes
- State
- Minnesota
- ZIP Code
- 56501-2840
- Phone
- (218) 844-9730
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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