Provider Demographics
NPI:1063234045
Name:HOLZNAGEL, ERIN LYNN (MA, LAMFT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:LYNN
Last Name:HOLZNAGEL
Suffix:
Gender:F
Credentials:MA, LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6445 REBECCA PARK TRL
Mailing Address - Street 2:
Mailing Address - City:LORETTO
Mailing Address - State:MN
Mailing Address - Zip Code:55357-9601
Mailing Address - Country:US
Mailing Address - Phone:651-808-3709
Mailing Address - Fax:
Practice Address - Street 1:821 MEANDER CT
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:MN
Practice Address - Zip Code:55340-4549
Practice Address - Country:US
Practice Address - Phone:320-413-6328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4549101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health