Debra Jeanne Slavik, LPC, LAMFT
Counselor, Professional in Forest Lake, MN. Individual provider (NPI-1).
NPI number1306186325
StatusActive
Last updated in NPPESApr 24, 2013
Details
- NPI
- 1306186325
- Entity type
- Individual (NPI-1)
- Name
- Ms. Debra Jeanne Slavik
- Credential
- LPC, LAMFT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 28, 2013
- Last updated
- Apr 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 01185 | MN | Yes |
Practice location
15252 W Freeway Dr Ne Ste 1Forest Lake, MN 55025-8120
Phone 651-304-7667
Mailing address
15252 W Freeway Dr Ne Ste 1Forest Lake, MN 55025-8120
Phone 651-304-7667
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