Lake Minnetonka Counseling

NPI #1578835310 in Long Lake, Minnesota

Provider Information

NPI Number
1578835310
Entity Type
Organization
Organization Name
Lake Minnetonka Counseling
Primary Specialty
Clinic/Center - Adolescent and Children Mental Health
Enumeration Date
Feb 8, 2012
Last Updated
Feb 8, 2012

Practice Location

Address
432 MILL ST
Address 2
SUITE 201
ZIP Code
55356-8304
Phone
(612) 386-2311

Authorized Official

Name
TARA MARIE BAUMAN, LICSW,, LADC, BCC
Title
THERAPIST
Phone
(612) 386-2311

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health

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