Individual provider · Type 1 NPI

Lauren Fortman, MA, LADC, LPCC

Professional Counselor · Minnetonka, MN

NPI number 1811366891 Active

Practice location

13100 Wayzata Blvd Ste 200
Minnetonka, MN 55305-1810

Fax (952) 206-2041

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X304231 (MN)
Professional Counselor Primary 101YP2500X1934 (MN)

Professional Counselor: Definition to come...

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About NPI 1811366891

Lauren Fortman, MA, LADC, LPCC's National Provider Identifier is 1811366891, issued on Sep 18, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Minnetonka, MN. The record was last updated on Apr 1, 2024.