person
Michael Graham Waxlax, LADC,LPCC
Professional Counselor in Mora, Minnesota
NPI 1801506704

Michael Graham Waxlax is a Professional Counselor based in Mora, MN and is specialized in Professional. Michael Graham Waxlax practices in Mora, MN and has the professional credentials of LADC,LPCC. The NPI Number for Michael Graham Waxlax is 1801506704 and holds a License No. 303086 (Minnesota).

The current practice location address for Michael Graham Waxlax is 230 1St St, Mora, MN and can be reached out via phone at 218-969-1943.

Location: 230 1St St, Mora, MN, 55051-7119
person
Provider Profile Details
NPI Number
1801506704
Provider Name
Michael Graham Waxlax
Credential
LADC,LPCC
Provider Entity Type
Individual
Gender
Male
Address
230 1St St, Mora, MN, 55051-7119
Phone Number
218-969-1943
Fax Number
Provider Enumeration Date
12/01/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
230 1St St
City
State
Zip
55051-1330
Phone Number
218-969-1943
Fax Number
person
Provider Business Mailing Address Details
Address
230 1St St
City
State
Zip
55051-1330
Phone Number
218-969-1943
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
4158 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
303086 (Minnesota)
Definition
Definition to come...
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