Individual
MR. ZACHARY JORDAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, MBA, LADC, LPCC
Contact information
Practice address
3100 KENNARD ST STE 250, MAPLEWOOD, MN 55109-5465
(651) 313-8080
(651) 925-0610
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
306832
MN
101YM0800X
Mental Health Counselor
Primary
5512
MN
101YP2500X
Professional Counselor
Primary
5512
MN
Other
Enumeration date
03/26/2026
Last updated
04/17/2026
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