Individual
LEAH NAN SHANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPCC, NCC, LSC
Contact information
Practice address
7400 METRO BLVD STE 227, EDINA, MN 55439-2470
(612) 712-5244
Mailing address
7400 METRO BLVD STE 227, EDINA, MN 55439-2470
(612) 712-5244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
02281
MN
101YM0800X
Mental Health Counselor
Primary
2939
MN
Other
Enumeration date
06/13/2019
Last updated
01/25/2026
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