Individual
MS. LESLIE ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
4810 NICOLLET AVE, MINNEAPOLIS, MN 55419-5511
(651) 485-1151
Mailing address
4810 NICOLLET AVE, MINNEAPOLIS, MN 55419-5511
(651) 485-1151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3011
MN
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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