Individual
MS. MOLLY JILL LEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
200 1ST STREET SW, MINNEAPOLIS, MN 55486-6347
(507) 284-2511
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511
(507) 284-0702
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303747
MN
101YM0800X
Mental Health Counselor
Primary
CC01864
MN
Other
Enumeration date
12/17/2024
Last updated
04/02/2025
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