Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL GRAHAM WAXLAX, LADC, LPCC
Active Sole ProprietorMICHAEL GRAHAM WAXLAX, LADC, LPCC is a Professional Counselor healthcare provider located in MORA, Minnesota. NPI 1801506704 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · MORA, MN
Registration Details
- NPI Number
- 1801506704
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2022 (3.6967495597036 yrs)
- Last Updated
- Mar 6, 2024
- Licenses
-
303086 (MN)4158 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
230 1ST STMORA, MN, 550511330Browse MN providers · Browse ZIP 55051
- Phone
- 2189691943
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in MORA, MN
| Name | Credential | NPI |
|---|---|---|
| JAMIE ROSE BANKERS | — | 1992263784 |
| ASHLEY TODD | — | 1407586217 |
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.