Individual
HEIDI LECKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 W BEATON DR STE 100, WEST FARGO, ND 58078-2652
(701) 347-1648
Mailing address
3846 12TH ST W, WEST FARGO, ND 58078-8164
(701) 260-9713
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1093-10-15-20-500
ND
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/09/2020
Last updated
08/12/2024
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