person
Lola Marie Booth, LADC
Addiction (Substance Use Disorder) Counselor in Detroit Lakes, Minnesota
NPI 1093480949

Lola Marie Booth is an Addiction (Substance Use Disorder) Counselor based in Detroit Lakes, MN and is specialized in Addiction (Substance Use Disorder). Lola Marie Booth practices in Detroit Lakes, MN and has the professional credentials of LADC. The NPI Number for Lola Marie Booth is 1093480949 and holds a License No. 305800 (Minnesota).

The current practice location address for Lola Marie Booth is 921 8Th St Se, Detroit Lakes, MN and can be reached out via phone at 218-844-9730.

Location: 921 8Th St Se, Detroit Lakes, MN, 56501-4219
person
Provider Profile Details
NPI Number
1093480949
Provider Name
Lola Marie Booth
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
921 8Th St Se, Detroit Lakes, MN, 56501-4219
Phone Number
218-844-9730
Fax Number
Provider Enumeration Date
08/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
921 8Th St Se
City
State
Zip
56501-2840
Phone Number
218-844-9730
Fax Number
person
Provider Business Mailing Address Details
Address
921 8Th St Se
City
State
Zip
56501-2840
Phone Number
218-844-9730
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
305800 (Minnesota)
Definition
Definition to come...
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