MEDICARE: MAUREEN B LASCHEN LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	CC01748	MN

General Provider Information

NPI Number	:	1295239705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN B LASCHEN LPCC

Provider Business Mailing Address
First Line	:	8794 SPRINGWOOD ALCOVE
Second Line	:
City	:	WOODBURY
State	:	MN
Zip	:	55125-4901
Country	:	US
Telephone Number	:	651-307-9626
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 GRAND AVE STE 204
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55102-2583
Country	:	US
Telephone Number	:	651-238-9447
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2018
Last Update Date	:	03/20/2018

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