Individual
LAURIE LEE BREIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1099 HELMO AVE N STE 130, OAKDALE, MN 55128-6034
(651) 755-4276
Mailing address
1099 HELMO AVE N STE 130, OAKDALE, MN 55128-6034
(651) 755-4276
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
30484
MN
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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