Provider Demographics
NPI:1922776103
Name:SELLNER, LORRAINE (LPCC)
Entity Type:Individual
Prefix:
First Name:LORRAINE
Middle Name:
Last Name:SELLNER
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11985 MAPLEWOOD RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:EAST GULL LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:56401-7501
Mailing Address - Country:US
Mailing Address - Phone:218-330-7431
Mailing Address - Fax:
Practice Address - Street 1:11985 MAPLEWOOD RIDGE CT
Practice Address - Street 2:
Practice Address - City:EAST GULL LAKE
Practice Address - State:MN
Practice Address - Zip Code:56401-7501
Practice Address - Country:US
Practice Address - Phone:218-855-8767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional