Individual
JUSTIN CHARLES LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1612C W LAKE ST, MINNEAPOLIS, MN 55408-2549
(612) 202-9552
Mailing address
2900 11TH AVE S APT 208, MINNEAPOLIS, MN 55407-5814
(612) 202-9552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
32300
MN
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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