Lifesplace Counseling, Consulting and Coaching

NPI #1790409639 in Big Lake, Minnesota

Provider Information

NPI Number: 1790409639
Entity Type: Organization
Organization Name: Lifesplace Counseling, Consulting and Coaching
Primary Specialty: Counselor
Enumeration Date: Oct 3, 2022
Last Updated: Oct 3, 2022

Practice Location

Address: 450 JEFFERSON BLVD STE 4
City: Big Lake
State: Minnesota
ZIP Code: 55309-1902
Phone: (763) 631-6325

Authorized Official

Name: DIANE LISA NEAL, MS, LPCC
Title: OWNER
Phone: (763) 203-5550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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