Loretta Jayne Bach Gansen, L.A.D.C.
NPI #1164656989 in Park Rapids, Minnesota
Provider Information
- NPI Number
- 1164656989
- Entity Type
- Individual
- Name
- Loretta Jayne Bach Gansen, L.A.D.C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- L.A.D.C.
- Enumeration Date
- May 7, 2009
- Last Updated
- Feb 20, 2019
Practice Location
- Address
- 515 BRIDGE ST
- City
- Park Rapids
- State
- Minnesota
- ZIP Code
- 56470-1210
- Phone
- (218) 366-9229
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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