Individual provider · Type 1 NPI
Michael Graham Waxlax, LADC, LPCC
Professional Counselor · Mora, MN
NPI number
1801506704
Active
Practice location
230 1st St
Mora, MN 55051-1330
Mailing address
2031 Rowland Rd
Mora, MN 55051-7119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 303086 (MN) |
| Professional Counselor Primary | 101YP2500X | 4158 (MN) |
Professional Counselor: Definition to come...
Other professional counselor providers in Mora
About NPI 1801506704
Michael Graham Waxlax, LADC, LPCC's National Provider Identifier is 1801506704, issued on Dec 1, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mora, MN. The record was last updated on Mar 6, 2024.