Individual
ELISE IRENE REDIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2215 E LAKE ST, MINNEAPOLIS, MN 55407-4385
(612) 873-6963
Mailing address
2215 E LAKE ST, MINNEAPOLIS, MN 55407-4385
(612) 873-6963
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC0013634
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001060
CO
101YP2500X
Professional Counselor
Primary
5055
MN
101YP2500X
Professional Counselor
Primary
LPC0013634
CO
Other
Enumeration date
10/03/2014
Last updated
01/14/2026
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