Lori Quist, MA, LADC
NPI #1114476660 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1114476660
- Entity Type
- Individual
- Name
- Lori Quist, MA, LADC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- MA, LADC
- Enumeration Date
- Sep 26, 2016
- Last Updated
- Sep 26, 2016
Practice Location
- Address
- 555 W BROADWAY AVE
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-1175
- Phone
- (651) 251-5225
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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