Most Relevant Information
Provider Data
| NPI Number: | 1003277286 |
| Provider Name: | COURTNEY MARIE BAGLEY M.A. LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 2918 |
Most Important Dates
| Enumeration Date: | 03/15/2016 |
| Last Updated: | 06/24/2020 |
Provider Practice Location
11549 LAKE LN STE 2
CHISAGO CITY
MN
550139201
Practice Location Phone/Fax
| Phone: | 6512572733 |
| Fax: |
Provider Mailing Location
11549 LAKE LN STE 2
CHISAGO CITY
MN
550139201
Provider Mailing Phone/Fax
| Phone: | 6512572733 |
| Fax: |