Provider Demographics
NPI:1447094628
Name:JOHN LAKVOLD COUNSELING
Entity type:Organization
Organization Name:JOHN LAKVOLD COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAKVOLD
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:509-354-7068
Mailing Address - Street 1:106 S HARBOR PARK CT
Mailing Address - Street 2:
Mailing Address - City:POST FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83854-7772
Mailing Address - Country:US
Mailing Address - Phone:253-341-8726
Mailing Address - Fax:
Practice Address - Street 1:505 N ARGONNE RD STE B207
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99212-2873
Practice Address - Country:US
Practice Address - Phone:509-354-7068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty