person
Lisa Marie Vait, LADC
Addiction (Substance Use Disorder) Counselor in Clearwater, Minnesota
NPI 1427538644

Lisa Marie Vait is an Addiction (Substance Use Disorder) Counselor based in Clearwater, MN and is specialized in Addiction (Substance Use Disorder). Lisa Marie Vait practices in Clearwater, MN and has the professional credentials of LADC. The NPI Number for Lisa Marie Vait is 1427538644 and holds a License No. 303952 (Minnesota).

The current practice location address for Lisa Marie Vait is 19247 County Road 44, Clearwater, MN and can be reached out via phone at 320-237-3413 and via fax at 320-558-2807.

Location: 19247 County Road 44, Clearwater, MN, 55320-1535
person
Provider Profile Details
NPI Number
1427538644
Provider Name
Lisa Marie Vait
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
19247 County Road 44, Clearwater, MN, 55320-1535
Phone Number
320-237-3413
Fax Number
320-558-2807
Provider Enumeration Date
08/16/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
303952 01 MN ALCOHOL AND DRUG COUNSELOR LICENSE NUMBER
M983181556620 01 MN DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
19247 County Road 44
City
State
Zip
55320-1535
Phone Number
320-237-3413
Fax Number
320-558-2807
person
Provider Business Mailing Address Details
Address
19247 County Road 44
City
State
Zip
55320-1535
Phone Number
320-237-3413
Fax Number
320-558-2807
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
303952 (Minnesota)
Definition
Definition to come...
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