Individual
MR. LEE BRADLEY ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
557 7TH ST W, SAINT PAUL, MN 55102-3065
(651) 234-0891
(651) 234-0892
Mailing address
2136 FORD PKWY # 130, SAINT PAUL, MN 55116-1863
(651) 234-0891
(651) 234-0892
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPCC00111
MN
101YP2500X
Professional Counselor
Primary
LPCC00111
MN
Other
Enumeration date
02/22/2007
Last updated
03/05/2012
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