Individual
LEA ATKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LADC, LPCC
Contact information
Practice address
10650 COUNTY ROAD 81, SUITE 205, MAPLE GROVE, MN 55369-4075
(763) 313-7248
Mailing address
10650 COUNTY ROAD 81, SUITE 205, MAPLE GROVE, MN 55369-4075
(763) 313-7248
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC01559
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
304506
MN
Other
Enumeration date
04/10/2017
Last updated
01/29/2018
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