Individual
MS. LIISA ANN BECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPS, LPCC LADC
Contact information
Practice address
1821 UNIVERSITY AVE W STE N385, SAINT PAUL, MN 55104-2872
(612) 454-2484
(651) 647-9147
Mailing address
550 MAIN STREET, SUITE 250, NEW BRIGHTON, MN 55112-3271
(612) 326-7575
(612) 454-2430
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304846
MN
101YM0800X
Mental Health Counselor
2331
MN
101YP2500X
Professional Counselor
Primary
304846
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
304846
LICENSED ALCOHOL AND DRUG COUNSELOR (LADC)
MN
Enumeration date
02/20/2018
Last updated
09/10/2020
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