MICHAEL GRAHAM WAXLAX LADC LPCC NPI 1801506704

NPI Information

  • NPI: 1801506704
  • Provider Name: MICHAEL GRAHAM WAXLAX, LADC, LPCC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 230 1ST ST
    MORA, MN
    ZIP 55051
  • Phone: (218) 969-1943

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NPI Details

Michael Graham Waxlax, LADC, LPCC is a professional counselor in Mora, MN. Michael Graham Waxlax, LADC, LPCC NPI is 1801506704. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

230 1ST ST
MORA, MN
ZIP 55051-330
Phone: (218) 969-1943

The enumeration date for this NPI number is 12/1/2022 and was last updated on 3/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)303086MINNESOTANo
2101YP2500XCounselorProfessional4158MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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