Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOLA MARIE BOOTH, LADC
Active Sole ProprietorLOLA MARIE BOOTH, LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in DETROIT LAKES, Minnesota. NPI 1093480949 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · DETROIT LAKES, MN
Registration Details
- NPI Number
- 1093480949
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 12, 2021 (4.9821262293299 yrs)
- Last Updated
- Oct 3, 2021
- License
-
305800 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
921 8TH ST SEDETROIT LAKES, MN, 565012840Browse MN providers · Browse ZIP 56501
- Phone
- 2188449730
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in DETROIT LAKES, MN
| Name | Credential | NPI |
|---|---|---|
| EDWARD RAY PACHEL | LADC | 1275711608 |
| JAMES ARTHUR THOM | LAC | 1164600599 |
| MS. TERI ELLEN CAIN | LADC | 1487822458 |
| TERRY JO WOOD | LADC | 1295984771 |
| LARRY W BOOMGAARDEN | B.A., LAC-T | 1295964518 |
| MS. JENNIFER REBECCA GIFFORD | MS, LADC | 1447588918 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.