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Individual

TREVOR LECOCQ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
1056 CENTERVILLE CIR, VADNAIS HEIGHTS, MN 55127-6344
(651) 604-7771
(651) 426-8116
Mailing address
1056 CENTERVILLE CIR, VADNAIS HEIGHTS, MN 55127-6344
(651) 604-7771
(651) 426-8116

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CC01325
MN
101YP2500X
Professional Counselor
Primary
CC01325
MN

Other

Enumeration date
10/07/2016
Last updated
11/07/2022
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