Individual provider · Type 1 NPI

Lisa Van Tassell, MA, LPC

Professional Counselor · Elk River, MN

NPI number 1659514503 Active

Practice location

9075 Quaday Ave NE, Suite 102
Elk River, MN 55330-6672

Mailing address

1900 Silver Lake Rd NW, Suite 110
New Brighton, MN 55112-1786

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC00537 (MN)

Professional Counselor: Definition to come...

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About NPI 1659514503

Lisa Van Tassell, MA, LPC's National Provider Identifier is 1659514503, issued on Apr 8, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Elk River, MN. The record was last updated on Apr 8, 2009.