Individual
DR. JODI LEIRNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
370 SELBY AVE STE 316, SAINT PAUL, MN 55102-1965
(651) 300-1729
Mailing address
5536 DUPONT AVE S, MINNEAPOLIS, MN 55419-1648
(651) 253-3054
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LP5948
MN
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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