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Lee Thao, LPCC,LADC
Mental Health Counselor in Roseville, Minnesota
NPI 1972012391

Lee Thao is a Mental Health Counselor based in Arden Hills, MN and is specialized in Mental Health. Lee Thao practices in Roseville, MN and has the professional credentials of LPCC,LADC. The NPI Number for Lee Thao is 1972012391 and holds a License No. 305599 (Minnesota).

The current practice location address for Lee Thao is 2345 Rice St Ste 145, Roseville, MN and can be reached out via phone at 612-314-3076 and via fax at 651-251-4889.

Location: 2345 Rice St Ste 145, Roseville, MN, 55112-3654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972012391
Provider Name
Lee Thao
Credential
LPCC,LADC
Provider Entity Type
Individual
Gender
Female
Address
2345 Rice St Ste 145, Roseville, MN, 55112-3654
Phone Number
612-314-3076
Fax Number
651-251-4889
Provider Enumeration Date
09/28/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1972012391 05 MN
institution
Provider Business Practice Location Address Details
Address
2345 Rice St Ste 145
City
Roseville
State
Minnesota
Zip
55113-3720
Phone Number
612-314-3076
Fax Number
651-251-4889
person
Provider Business Mailing Address Details
Address
2345 Rice St Ste 145
City
Roseville
State
Minnesota
Zip
55113-3720
Phone Number
612-314-3076
Fax Number
651-251-4889
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
3470 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
3470 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
305599 (Minnesota)
Definition
Definition to come...
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