NPI 1043428840

Mary Louise Fawcett, PHD

Practitioner Counselor Winona, MN

Practice location

Address: 36261 Cedar Ridge Dr, Winona, MN 55987-5910
Phone: (507) 452-6945

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence 2163 (NC)

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Registry record

NPI: 1043428840
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 May 2007
Record last updated: 14 Oct 2020

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.