Provider Demographics
NPI:1750899613
Name:VOSS, LORI K (MS LMFT)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:K
Last Name:VOSS
Suffix:
Gender:F
Credentials:MS LMFT
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:K
Other - Last Name:PETERSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS LMFT
Mailing Address - Street 1:23 PINE ST N
Mailing Address - Street 2:
Mailing Address - City:MORA
Mailing Address - State:MN
Mailing Address - Zip Code:55051-1320
Mailing Address - Country:US
Mailing Address - Phone:320-679-6964
Mailing Address - Fax:320-679-8183
Practice Address - Street 1:23 PINE ST N
Practice Address - Street 2:
Practice Address - City:MORA
Practice Address - State:MN
Practice Address - Zip Code:55051-1320
Practice Address - Country:US
Practice Address - Phone:320-679-6964
Practice Address - Fax:320-679-8183
Is Sole Proprietor?:No
Enumeration Date:2018-01-12
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3628106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist