Individual
TARA LEBARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
621 W LAKE ST STE 350, MINNEAPOLIS, MN 55408-2952
(612) 979-2276
Mailing address
621 W LAKE ST STE 350, MINNEAPOLIS, MN 55408-2952
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC01081
MN
Other
Enumeration date
10/26/2015
Last updated
04/19/2024
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