NPI 1033436167

Lori Marie Cargen Beckwith, LADC

Practitioner Addiction (Substance Use Disorder) Counselor Stillwater, MN

Practice location

Address: 11400 Julianne Ave N, Stillwater, MN 55082-9436
Phone: (612) 454-2406
Fax: (651) 426-0419

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 302856 (MN)

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Registry record

NPI: 1033436167
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Apr 2010
Record last updated: 22 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.