Provider Demographics
NPI:1215469259
Name:FUCHS, PAULA (LPCC)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:FUCHS
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 1:818 2ND ST S STE 180
Mailing Address - Street 2:
Mailing Address - City:WAITE PARK
Mailing Address - State:MN
Mailing Address - Zip Code:56387-1887
Mailing Address - Country:US
Mailing Address - Phone:320-257-1800
Mailing Address - Fax:320-257-1801
Practice Address - Street 1:818 2ND ST S STE 180
Practice Address - Street 2:
Practice Address - City:WAITE PARK
Practice Address - State:MN
Practice Address - Zip Code:56387-1887
Practice Address - Country:US
Practice Address - Phone:320-257-1800
Practice Address - Fax:320-257-1801
Is Sole Proprietor?:No
Enumeration Date:2017-03-29
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC01480101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional