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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LORETTA JAYNE BACH GANSEN, L.A.D.C.

Active

LORETTA JAYNE BACH GANSEN, L.A.D.C. is a Addiction (Substance Use Disorder) Counselor healthcare provider located in PARK RAPIDS, Minnesota. NPI 1164656989 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · PARK RAPIDS, MN

Registration Details

NPI Number
1164656989
Provider Type
Individual
Gender
Female
NPI Issued
May 7, 2009 (17.230484658723 yrs)
Last Updated
Feb 20, 2019
License
300392 (MN)

Practice Information

Address
515 BRIDGE ST
PARK RAPIDS, MN, 564701210
Browse MN providers · Browse ZIP 56470
Phone
2183669229
Fax
2182372520

Other Addiction (Substance Use Disorder) Counselor Providers in PARK RAPIDS, MN

Name Credential NPI
DON JOSEFSON MA, LADC 1114479078
BRADY PIEPER 1164950796
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.