Individual
MICHAEL JEROME LEADENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
23671 SAINT FRANCIS BLVD NW STE 103, SAINT FRANCIS, MN 55070-9803
(763) 753-6639
(763) 753-4173
Mailing address
23671 SAINT FRANCIS BLVD NW STE 103, SAINT FRANCIS, MN 55070-9803
(763) 753-6639
(763) 753-4173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
304172
MN
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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