Individual
LUCAS CORBY NIEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
7601 WAYZATA BLVD, MINNEAPOLIS, MN 55426-1626
(612) 223-8898
Mailing address
7601 WAYZATA BLVD, MINNEAPOLIS, MN 55426-1626
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
CC04942
MN
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/24/2021
Last updated
05/22/2025
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