person
Vicki Rae Novak
Professional Counselor in Lake Elmo, Minnesota
NPI 1023150067

Vicki Rae Novak is a Professional Counselor based in Lake Elmo, MN and is specialized in Professional. Vicki Rae Novak practices in Lake Elmo, MN. The NPI Number for Vicki Rae Novak is 1023150067 and holds a License No. 445 (Minnesota).

The current practice location address for Vicki Rae Novak is 8669 Eagle Point Blvd, Lake Elmo, MN and can be reached out via phone at 651-379-0444 and via fax at 651-379-0448.

Location: 8669 Eagle Point Blvd, Lake Elmo, MN, 55042-8628
person
Provider Profile Details
NPI Number
1023150067
Provider Name
Vicki Rae Novak
Credential
Provider Entity Type
Individual
Gender
Female
Address
8669 Eagle Point Blvd, Lake Elmo, MN, 55042-8628
Phone Number
651-379-0444
Fax Number
651-379-0448
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
416K6NO 01 MN BCBS OF MN ID
institution
Provider Business Practice Location Address Details
Address
8669 Eagle Point Blvd
City
State
Zip
55042-8628
Phone Number
651-379-0444
Fax Number
651-379-0448
person
Provider Business Mailing Address Details
Address
8669 Eagle Point Blvd
City
State
Zip
55042-8628
Phone Number
651-379-0444
Fax Number
651-379-0448
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
445 (Minnesota)
Definition
Definition to come...
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