Lisa Marie Vait, LADC

NPI #1427538644 in Clearwater, Minnesota

Provider Information

NPI Number
1427538644
Entity Type
Individual
Name
Lisa Marie Vait, LADC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LADC
Enumeration Date
Aug 16, 2018
Last Updated
Aug 16, 2018

Practice Location

Address
19247 COUNTY ROAD 44
ZIP Code
55320-1535
Phone
(320) 237-3413

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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