West Lake Counseling and Wellness, INC
NPI #1255791745 in Long Lake, Minnesota
Provider Information
- NPI Number
- 1255791745
- Entity Type
- Organization
- Organization Name
- West Lake Counseling and Wellness, INC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 26, 2016
- Last Updated
- Feb 26, 2016
Practice Location
Authorized Official
- Name
- TARA BAUMAN MIZUHATA, LICSW
- Title
- PRESIDENT
- Phone
- (612) 386-2311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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